'For a Nation.al Fin,a,nee Leadership Retreat Friday, June 20th - Sunday, June 22nd Nantucket, MA Suggested Contribution: $5,000 per couple To :RSVP please contact Dali Monico at or (202) 464-2142 I::>aid for by Ca.mpaign ,For Our Country - (202.) 464-2142 - n,ot authorized by imy c>r candidate's Attend the Retreat: YES - 1 would like to attend the Retreat. Endosli:ld is my contribution of __, (Stlggt.:'st.ed contt'ibution: $5/000 pet' couple). ___ r cannot attend. the Retreat" b\d I would like to support Campaign For Oux Country, Enclosed 18 rny contribution of _ m_....."'_.. ....._... ..__._._.__._._._. Ante" l\'blsterCard (drde 011(;) .. _ __.._ _ . Coublct (if Address: _.._.. __ _ ".. . __.._ "' --- City: _ _.. . _. ._ SUlte: ._..__.__ _._ Zip:._ __._. . Home Phone: ".." ww " __ _._,, .. "Vorl\; w._.. ,"' __ __ "N. __ E-mail: ..__ ._ _ _._ .._._ _ _ _ _ . Employcr: ,_.__._ _..__N.," ._ w _ ._ " _._._ __w _ .. 1 am a US Citizen or I)ernument resident itlien Federal hnv reqlJ.irt;'s us to Mse ottt' h(!st e,,{fbrls to c:ol1(U,:1 and report the name, n'wilillg tuJdress, occupation, and name each individual IIvhose contributions (,tggregate in excess of$200 pet' election cycle. To ContJ:1butc by Credit Card: cbarge "",",,,w., ,,'" to my Naulc: .__.., -..__. ,..__. , . number: __._,.,_.. .._,_.._...._._.. .........".. ".. , ... .._..."..._ Exp. I)lue: __......_, ,,__ BUling Address: _m... ,._..._, _ An lndlvidlutl or political comulittcc (PAC) may rnaxil,:num iU110lmt of $5,000 yeur to a Le,adershlp PAC. Contributiot'ls from corpormlons, labor orgarlizatioll treasury funds, foreign nationals, and govc:rnnlcot contractors arc prohibit"xL Contributions or gifts to Campaign For OUl' CmU1try llrc not. deductible for t'edel'lll income tax Please rctuJ.11 donor card and contributi0l1 to: Dan Monleo 'For Out Country 10 G Street, NEt Suite 71.0 Washington, DC 2.0002 Phone: 202-464-2142 Fax: 202-464-2139 Paid for by Carnpaign. For Our Country - (202) 464-2142- and not authorized by any <;)! candidi.:itc's commi.ttee.