Second Annual Governors Shoot

Fellowship & Sporting Clays

Governor Mike Pence

Hosts Culver Duck Farms Charlie Hiltunen Performance Wellness Indiana State Rifle & Pistol Association Managed Health Services National Rifle Association Co-Hosts Millers Health Systems Sponsors Pings Tree Service Tom Wheeler Fresh Air Screens Indiana Sportsmens Roundtable Indiana Land Title Association L.E. Kincaid & Sons, Inc Hoosier Portable Restrooms Honorary Hosts U.S. Congressman Todd Rokita (IN-4) U.S. Congressman Marlin Stutzman (IN-3)

With

Thursday, April 24, 2014 Indiana Gun Club

14926 East 113th Street Fortville, Indiana
8:30 a.m. Registration/Continental Breakfast 9:00 a.m. Shooting Clays Clinic with World Champion, Bob Self 10:00 a.m. Shoot Begins 1:00 p.m. Governors Cookout & Awards Ceremony

Squad (Shotgun foursome)*: $750 / Individual*: $250 SPONSORSHIP OPPORTUNITIES Host: $5,000 (Includes 8 Tickets*, Lunch, and Sign/Program Recognition) Co-Host: $2,500 (Includes 6 Tickets*, Lunch, and Sign/Program Recognition) Sponsor: $1,000 (Includes 4 Tickets*, Lunch, and Sign/Program Recognition) *Includes Targets & Ammunition. Shotguns and equipment can be provided - please indicate if needed on attached reply form.
To confirm your participation, please contact Anne Dixon at (317) 694-1876 or annedixon@mikepence.com by April 21, 2014
Contributions by corporations and labor organizations are limited to $5,000 annually; contributions by individuals, LLCs and political committees are unlimited. Contributions are not deductible as charitable contributions. Contributions from foreign nationals are prohibited.

Paid for by Mike Pence for Indiana

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YES, I/we will attend the event for Mike Pence on April 24, 2014 and participate at the following level: Host $5,000 Co-Host $2,500 Sponsor $1,000 Squad of Four $750 Individual $250 If Host or Sponsor, please list on the invitation as/and or register as: ____________________________________________________ Please list attendees and note if shotguns, protective eyewear and ear plugs are needed and if participating in the Clinic for New and Novice Shooters (ammunition is provided for all shooters): ____________________________________________________ ____________________________________________________

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UNFORTUNATELY, I/we cannot attend the event for Mike Pence, but have enclosed $__________ to help ensure it is a successful event.

If paying by credit card, please provide the following and fax to (317) 663-0730
Amount of Contribution: $________________ Card (Please Circle One): Visa MasterCard American Express Discover

Number: ___________________________________ Exp date:___________ Name on card:____________________________________________________ Signature: _______________________________________________________ Address:_________________________________________________________ Phone:_______________________ Email: _____________________________

Please make checks payable and mail to:

Mike Pence for Indiana 101 West Ohio Street, Suite 1180, Indianapolis, Indiana 46204
To confirm your participation, please contact Anne Dixon at (317) 694-1876 or annedixon@mikepence.com by April 21, 2014
Contributions by corporations and labor organizations are limited to $5,000 annually; contributions by individuals, LLCs and political committees are unlimited. Contributions are not deductible as charitable contributions. Contributions from foreign nationals are prohibited.

Paid for by Mike Pence for Indiana