Please Join

AT&T FEED ER
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For a Luncheon in Support of

SENATOR KAY R. HAGAN

On
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SD Y, JU
AY UN E 22, 2011
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12:30 PM

The Source
575 Pennsylvania Avenue, NW
Washington, DC

REQUESTED CONTRIBUTION LEVELS:

Co-Hosts: $5,000 PAC/Individuals

Sponsors: $2,500 PAC/Individuals
Supporters: $1,000 PAC/ Individuals

Please RSVP to Jo Vincent at (703) 241-0466 / jovincent@erols.com

Or to Ashley Flanagan at (202) 546-5004 / Ashley@ffandcompany.com

Paid for by Kay Hagan for U.S. Senate

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.
 K
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NAATTEE
Wednesday, June 22, 2011
12:30 PM Lunch
_____Yes, I/we would like to attend the event and contribute $__________________________.

_____ No, I/we are unable to attend, but would like to contribute $__________________________.

An individual can contribute as much as $5,000 to Kay Hagan for U.S. Senate ($2,500 for the primary election, and $2,500
for the general election). Married couples may together give a total of $10,000. Federal multi-candidate political action
committees (PACs) can contribute as much as $10,000 ($5,000 for the primary election, and $5,000 for the general
election). Contributions from corporations, labor organization treasury funds, foreign nationals, and federal government
contractors are prohibited.

Please sign below (this is not mandatory but prevents the campaign from having to send a follow up letter):
I designate my contribution(s) to Kay Hagan for U.S. Senate, the first $2,500 (or $5,000, in the case of a federal
multicandidate political action committee) for the 2014 primary election, and any additional amount that I contribute up
to $2,500 (or $5,000, in the case of a federal multicandidate political action committee) for the 2014 general election.

Donor signature: _______________________________________________________

Second donor signature (if a couple contributing out of a joint account): ____________ ___

CONTRIBUTIONS CAN BE MAILED WITH THIS COMPLETED FORM TO:

Kay Hagan for U.S. Senate ~ 426 C Street, NE ~ Washington, DC 20002

PERSONAL CREDIT CARD CONTRIBUTIONS CAN BE SENT VIA FAX TO (202) 354-5356

OR YOU MAY GIVE ONLINE AT http://www.actblue.com/page/khagan

Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and
name of employer for individuals whose contributions exceed $200 in an election cycle.
Name:_______________________________________________________________________________________
Address:______________________________________________________________________________________
City/State/Zip:________________________________________________________________________________
Occupation:___________________________________ Employer:_______________________________________
Home Phone:__________________________________ Work Phone:_____________________________________
Fax:__________________________________________ Email:__________________________________________
TO PAY BY PERSONAL CREDIT CARD:
 
Visa American Express MasterCard Discover
Card Number:__________________________________ Exp.: ___________________ Amount: $______________
Name on Card:_________________________________________________________________________________
Printed in house
Contributions or gifts to Kay Hagan for U.S. Senate are not tax deductible.
Paid for by Kay Hagan for U.S. Senate

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.