Escolar Documentos
Profissional Documentos
Cultura Documentos
KEN PAXTON
For a Complimentary Reception to benefit
U.S. CONGRESSMAN
JOHN RATCLIFFE
REPRESENTING U .S . HOUSE DISTRICT 4
CHAIRMAN OF THE SUBCOMMITEE ON CYBERSECURITY
______________________________________________________________________________________________________________
Full Name
Spouse Name (if joint contribution)
______________________________________________________________________________________________________________
Address
City
State
Zip Code
______________________________________________________________________________________________________________
Home Phone
Work Phone
Cell Phone
______________________________________________________________________________________________________________
Facsimile
E-Mail
______________________________________________________________________________________________________________
Employer, Occupation
Spouses Employer, Occupation (if joint contribution)
Credit Card Contributions: This contribution to John Ratcliffe for Congress is drawn on my personal credit card, represents my personal funds, and is not drawn on an
account maintained by an incorporated entity.
To make your personal payment by credit card, please complete the following information:
Please charge my:
Visa
MasterCard
American Express
Discover
$_________________________________________________________________________________________________________
Amount of Contribution
Cardholder Name (printed)
______________________________________________________________________________________________________________
Card Number
Exp. Date
CVC Code
Billing Zip
______________________________________________________________________________________________________________
Signature of Contributor
Signature of Second Contributor (if joint contribution)
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.