Elizabeth Warren - Politico.pdf

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					                                  Michael Fuchs
    Dick and Sunny Aurelio Harry and Pamela Belafonte
Karen Burstein Patricia Duff Gail Evertz Linda Fairstein
               Kevin Jennings Kerry Kennedy
     Bette Midler and Martin von Haselberg Michael Sennott
                        Fred Wistow

         Cordially invite you to attend a reception for

                Elizabeth Warren
 Candidate for United States Senate – Massachusetts
                              At the residence of
                                Michael Fuchs
                   130 East 12th Street, Penthouse
                       New York, New York

                       Thursday, April 19, 2012
                                   6:00-7:30 P.M.




  Suggested Contribution: Sponsor: $5,000 Guest: $2,500 Friend:
$1,000RSVP to: Christine Marshall at 212.583.7010 or Michael@fuchsnyc.com
                 Contributions or gifts to Elizabeth for MA are not tax deductible.

                                  Paid for by Elizabeth for MA
__YES, I will attend. __NO, I am unable to attend but would like to make a
contribution.
Enclosed is my contribution of $________for the April 19th Fuchs reception.
                   Federal Election Law allows individuals to donate up to $5,000 per election cycle:
               $2,500 designated for the Primary Election and $2,500 designated for the General Election

                                  Please make checks payable and mail to:
                                Elizabeth for MA
       c/o Paula Levine, 135 Clarendon Street #10W, Boston, MA 02116 or
      contribute online at: https://secure.actblue.com/contribute/page/nycapr19a

        or please fax your credit card charge to: 1.617.670.0652
Please charge my personal contribution to my: ____Visa ____MC ____AMEX
Credit Card Number _________________________ Exp:__________ Sec. #_______
Cardholder’s name (as it appears on card) ___________________________________
Cardholder’s signature ________________________________________________
              Federal law requires us to use our best efforts to collect and report the name, mailing address,
          occupation and name of employer of individuals whose contributions exceed $200 in an election cycle.

Name____________________________________________________________

Address__________________________________________________________
                               (if using a credit card, please provide the billing address)
City/State/Zip______________________________________________________

Employer________________________ Occupation_________________________

Office Phone______________________ Fax Phone__________________________

Email____________________________________________________________
YOU MUST ALSO SIGN BELOW:
  •    By signing below, I affirm that I am making this contribution with my own personal funds, I am not using funds provided by
       any other person or entity, and that I am a citizen or a lawfully admitted permanent resident of the United States.
  •    I am designating the first $2,500 of my contribution to the primary election and any amount in excess of that, up to $2,500, to
       the general election.
  •    (For credit card contributors only:) By signing below, I am affirming that I am making this contribution on my own personal
       credit card and not with a corporate or business credit card or a credit card issued to anyone else.

CONTRIBUTOR SIGNATURE:

SECOND SIGNATURE FOR JOINT ACCOUNTS:



                                  Contributions or gifts to Elizabeth for MA are not tax deductible.

                                                 Paid for by Elizabeth for MA

				
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