CLINTON & MALONEY HAVE AFFAIR AT ST REGIS

Chairs' Reception with President Bill Clinton from 6:00pm to 6:30pm

For further information, to join the host committee, or to RSVP, please contact:

Melissa Blechman at 212-228-5222 or MBlechman@carolynmaloney.com  or

Jamie Ansorge at=2 0212-228-5222 or Jamie.Ansorge@gmail.com  

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An Evening in Support of

Congresswoman Carolyn Maloney

Monday, July 20^th, 2009   A 2   6:00pm to 8:00pm   •    St. Regis Hot el, 2 East 55^{th Street}

Join the Host Committee   

Yes, I would like to join the Host Committee as a:

__     Chair:         Pledge to raise $48,000* (Includes 2=2 0tickets for Chairs' Reception and program listing)

__     Co-Chair:  Pledge to raise $24,000* (Includes 2 tickets for Chairs' Reception and20program listing)

__     Patron:       Pledge to raise $10,000* (Name listed in event program)

__     Sponsor:     Pledge to raise/contribute $4,800* (Name listed in event program)

__     Friend:        Pledge to raise/contribute $2,400* (Name listed in event program)

*Subject to Federal Campaign Finance contribution lim its

Please list my name on the event program as**:__________________________________ - OR - __ Do not list my name

Make a Contribution

__I/we will attend the July 20^th event. Enclosed is my contribution of:

__$4,800    __$2,400   __$1,000    __Other: $__________  for __________ ticket(s)

        Minimum: $1,000/person

Name(s) of attendee(s): ________________________________________________________________________

__ I/we cannot attend, but have enclosed my contribution of $__________.  

The following information is required by Federal Campaign Finance law:

Name: ___________________________________________________________________________________________

Home Address: _________ ______________ _____________________________________________________________________

City:___________________________ &nbs p; State:_______________ &n bsp; Zip Code: ___________________________________________

Employer's Name:  _________________________________   Occupation: ____________________________________________

Please provide the following information so we can contact you, if necessary.  This information is for internal purposes only and will not appear in required public disclosure filings.

Telephone No. (H): _______________________________Telephone No. (W): _________________________________________

Fax No.: ___________________________________E-mail address: _________________________________________________

Please indicate if contribution is being made by: __Cash       __Check       __Money Order        __Credit Card

Please charge my:  __ Visa    __ MasterCard    __ AMEX    __ Discover

Card Number: _____________________________________________________ Exp. Date _________________/______________

Signature:__________________________________ ____

The account being used to make this contribution is registered to and managed by a/an:

__Individual&nb sp;        __ Federal Candidate Committee    __ Partnership   __ PAC

For non-individuals please provide the contributing entity's name: ______________________________________________

**All Host Commi ttee names received by July 16^th will be included on the event program.

Please make checks payable to:

 Maloney for Congress

24 East 93rd Street, # 1B, New York, NY 10271

Phone: 212-228-5222    Fax: 212-987-5058

Contributions to Maloney for Congress are not deductible for federal income tax purposes.

Individual co ntributions are limited to $2,400 per federal election.  The primary and general election are considered separate federal e lections with each having a separate contribution limit of $2,400.  Federal=2 0PACs are limited to $5,000 per federal election (primary and general).  Contributions from corporations, labor organizations, treasury funds, and foreign nationals are prohibited.

For further information, please contact Melissa Blechman at 212-228-5222 or MBlechman@carolynmaloney.com .

Paid for by Maloney for Congress.  Designed in-house