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RUDY GIULIANI

RUDY GIULIANI - BayAreaGOP.com

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MAY 30 BIRTHDAY CELEBRATION LUNCH<br />

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Yes, I/we will serve as a CHAIR and help raise a minimum of $23,000. (Includes 10 tickets to VIP reception with PHOTOS and a Preferred table<br />

seating of 10 at the Birthday Lunch.)<br />

Yes, I/we will serve as a CO-CHAIR and sell 10 tickets at $1,000 each. (Includes 4 tickets to the VIP Reception with photo; and Preferred Table seating<br />

of 10 at the Birthday Celebration Lunch.)<br />

Yes, I/we will serve as a TABLE SPONSOR and sell 10 tickets at $250 each. (Includes 1 ticket to VIP reception with PHOTO and 1 table of 10 at the<br />

Birthday Lunch.)<br />

Yes, I/we will attend. Please reserve _____ tickets at $2,300 each. (Includes 1 ticket to VIP reception with PHOTO and Preferred seating at Birthday<br />

Lunch.)<br />

Yes, I/we will attend. Please reserve _____ tickets at $1,000 each. (Includes Preferred seating at Birthday Lunch.)<br />

Yes, I/we will attend. Please reserve _____ tickets at $250 each. (Includes Birthday Lunch only)<br />

I/We are unable to attend, however enclosed is my/our contribution in the amount of $_______________________.<br />

Please make check(s) payable to: Rudy Giuliani Presidential Committee, Inc.<br />

Attention: 520 Capitol Mall, Suite 220, Sacramento, CA 95814<br />

For more information please call 916-443-7444.<br />

Mail contribution form to the above address or FAX credit card information to 916-492-7200.<br />

Federal law requires us to obtain and report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate<br />

in excess of $200 in an election cycle.<br />

CONTRIBUTOR INFORMATION<br />

Name: Prefix: _____ First: __________________________________ Middle: __________ Last: ___________________________________________________<br />

Address: _______________________________________________________ City: ________________________________ State: __________ Zip: __________<br />

Home #: __________________________________________ Cell #: ____________________________________ Work #: _______________________________<br />

Fax #: _________________________________________ Email: _____________________________________________________________________________<br />

Employer: _________________________________________________________ Occupation: _____________________________________________________<br />

Spouse Name: _________________________________________ Spouse Email: ________________________________________________________________<br />

Assistant’s Name and Contact Information: ___________________________________________________________________<br />

This contribution to the Rudy Giuliani Presidential Committee, Inc. made by check or credit card represents my/our personal funds, is not drawn on an account maintained by an<br />

incorporated entity, and I have read this form.<br />

SIGNATURE: _______________________________________________<br />

SPOUSE CONTRIBUTOR INFORMATION FOR JOINT CONTRIBUTIONS<br />

Name: Prefix: _____ First: ____________________________________________ Middle: __________ Last: _________________________________________<br />

Nickname: ________________________________________________________ Home #: ________________________________________________________<br />

Work: __________________________________________________ Email: ____________________________________________________________________<br />

Employer: ______________________________________________________<br />

Occupation: _______________________________________________________<br />

If this contribution is intended to be a contribution from a couple, signature of spouse must be provided.<br />

SIGNATURE: _______________________________________________<br />

CREDIT CARD CONTRIBUTIONS<br />

Credit Card: (check one) VISA MasterCard American Express Discover<br />

Card Number: _______________________________________________________________________________________________________________________<br />

Amount: $___________________________________________________ Expiration Date: _________________________________________________________<br />

Cardholder Name: __________________________________________________ Signature: ________________________________________________________<br />

Contributions are not deductible for federal income tax purposes. Federal Election Law requires us to report the name, address, occupation, and employer for<br />

contributions that aggregate in excess of $200 in an election cycle. The maximum an individual may contribute is $2,300 per election, with the primary and<br />

general elections treated separately. As a result, any initial contribution up to $2,300 is designated for the primary and any additional amount is designated for<br />

the general, up to a total of $4,600 per person. A couple may contribute $9,200, designated per person in accordance with the preceding sentence. Federal<br />

multi-candidate PACs may contribute $5,000 for the primary and $5,000 for the general. Contributions from corporations, labor organizations, federal<br />

government contractors, and foreign nationals without permanent residency status ("green cards") are prohibited.<br />

Solicitor:_______ Tracking #:________<br />

Paid for by Rudy Giuliani Presidential Committee, Inc.<br />

www.joinrudy2008.com<br />

ECA27

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