You are on page 1of 2

The Democratic National Committee

Cordially invites you to an evening reception with special guest

President Barack Obama


To support the 2016 White House Victory Fund
Thursday, May 7, 2015
5:00 PM
The Sentinel Hotel
614 Southwest 11th Avenue
Portland, OR
Please contact Carla Frank with any questions or concerns
at 206.849.1804 or at FrankC@dnc.org

Paid for by the Democratic National Committee, www.democrats.org. This communication is not
authorized by any candidate or candidates committee.

Yes! I/we would like to attend the Reception on May 7, 2015


$500 General Reception Guest
$5,000 Photo Line Reception Guest
$10,000 Co-Chair Clutch
I am unable to attend, but would like to support The Democratic National Committee by contributing: $___________
Name(s) of attendee(s): ____________________________________________________________________________
I was invited to attend by: __________________________________________________________________________
Please make checks payable to:
White House Victory Fund
Attn: Erik Stowe
430 S Capitol Street, SE
Washington, DC 20003

Total Amount: $________________

Click here to contribute online: https://finance.democrats.org/page/contribute/PortlandReceptionMay7


Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and employer of individuals whose
contributions exceed $200 in a calendar year.

First & Last Name: ________________________________________________________________________________________


Address: ____________________________________________________________________________________________ ____
City/State/Zip: ____________________________________________________________________________________________

https://my.democrats.org/April4Luncheon

Employer: _______________________________________ Occupation: _____________________________________________


Work Phone: ____________________________________ Work Fax: _______________________________________________
Home Phone: ____________________________________ Email: __________________________________________________
Federal law prohibits foreign nationals, except lawfully admitted permanent residents of the U.S., from contributing to the Democratic National
Committee. By signing below, I certify that I am a U.S. citizen or lawfully admitted permanent resident of the U.S., and that the funds I am donating
are not being provided to me by another person or entity for the purpose of making this contribution.

Signature: ______________________________________ Second Signature *: ______________________________________


Second Name (printed): ____________________________________________________________________________________
Second Name Employer: ______________________________________ Second Name Occupation: ____________________
Contribute by Personal Check:
Please make checks payable to Democratic National Committee and mail to the address listed above.
Contribute by Credit Card:
Please bill my personal credit card:
Visa
MasterCard
AMEX
Discover
Card Number: ____________________________________________________________________Exp: ___________________
Name as it appears on the card: _____________________________________________________________________________
Signature: _______________________________________
* If contributing from joint account. Contributions made from joint accounts will be evenly attributed between names.
The Democratic National Committee does not accept contributions from currently registered federal lobbyists, registered foreign
agents, political action committees, or minors under the age of 16.
Federal law prohibits the acceptance of corporate or labor union contributions.
Contributions or gifts to the Democratic National Committee are not tax deductible.

OR020

Paid for by the Democratic National Committee, www.democrats.org. This communication is not
authorized by any candidate or candidates committee.

You might also like