Reception
Reception
Sunday, August 19, 2012 7:00 pm8:30 pm 245 Dunridge Circle East Dundee, IL 60118 $1000/Chairman $500/Executive
Please RSVP to: Allen Skillicorn at 8474175611 or [email protected] Please make checks payable to: Walsh for Congress
PAIDFORBYWALSHFORCONGRESS
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.
Name on card:_____________________________________________________________ Card #: ____________________________Security Code: _______Exp. Date: _________ _______________________My signature verifies that this contribution represents my personal funds and is not drawn on an account maintained by an incorporated entity, labor organization or national bank. I am not a foreign national who lacks permanent status in the United States. I affirm that this contribution is made on a personal credit card for which have the legal obligation to pay, and not through corporate or business entity card or the card of another. I affirm that I am over the age of 18 years of age. Checks: Please make checks payable to: Walsh for Congress. Bring contributions to the event or send to: 904 S. Roselle Rd, #328, Schaumburg, IL 60173 or contact Nicole Dziuban at 847.849.9508, fax to 815.893.0241 or email [email protected] RSVP to Allen Skillicorn at 847.417.5611 or [email protected] Federallawrequirespoliticalcommitteestousetheirbesteffortstoobtainandreportthename,addressandoccupationof individualswhosecontributionsexceed$200inanelectioncycle.IfyouhavepaidbyCreditCardpleaseusetheaddress associatedwithyourcard. _________________________________________________ ________________________________________ Name Spouse Name _________________________________________________ ____________________ ______ _________ Address City State ZIp _________________________________________________ _______________________________________ Email Phone _________________________________________________ _______________________________________ Occupation Employer Contributions are not tax deductible. Contributions from corporations and foreign nationals are prohibited. Partnership checksarewelcome.
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.