Please join

Senator John Kerry

Wednesday, June 11
8:30 - 9:30 am
Charlie Palmer's

101 Constitution Avenue, NW
Washington, DC
Suggested contribution: $1,000 per individual or $2,500 per PAC
Host committee: $4,600
To R.S.V.P. or for additional information please contact Dan Monico at
(202) 464-2142 or &l.monicQC<!Ijohnkerrj!,Qill
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!'aid for by John KelTY for Semite
10 G Street NE. Suite 7JO
W'lshingtoll, DC 20002
.loin thg Host Committee
__ Yes, I would to join the host committee (Sugge.sle,J contribution: $4,600).
Attltad {hI! li'l'#llt
I would like to attend the event on June 11tho Enclosed is my contribution or .
(Suggested contribution: $1, 000 per individual or $2,50() pel' PAC).
I cllnnot attend but would like to support John Kerry for Senate, Enclosed is my c(mtrlbution of .... _
Nllme: _, _.. _..__ _..__" "' __._ _ _._ _._ _ _"' ..
Contact (if PAC): __ __ _ _. _.._ _ _ .._ _
Addl'ess: _,,, .___. ,,,, __.._....
City; ........-....."."..."..".. .."."..."...... .. ....".........."......".......................... ...."....... ....... Sulte: __''' _
Home Phone: Work Phone:
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__.. I am u US Citizen or permanent resident alien check)
Federllll'lW requires us 10 tHe Our best eJJbrts to eel/ieci and repon the name. mailing elf/dress.. occupation,
(lnd nil/Itt? of employer.!<)r each individual whose contributiOlls aggregate in excess cd' $200 per electio/l cycle.
To Col1triblJlc by Credit
Please chal'ge __. to my Amex Visa MasterCard (please circle)
Name: w _ __ _"' w._ w _w _w.._ .._ " _ _ ww ..
Card number: Exp. Date:
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All i.ndividual may contribute a ma.xbnum amount of $2.300 per "lectio)) (th" and senen,) arc
elections) to Ufederal candidate. Federal multi-cul1dldatll political action cOlllmittees (PACs) may contribute
$5.000 per election. Contributions from ,;orponltions, labor organir,atiorl tr,'usury funds, foreign nationals, and
fcderal government contractors arc pmhibitcd.
Contributions or gifts to John Kerry for Senllte arc not deductible for federal income tax purposes,
Paid till' by John Kerry for Senate
10(1 Street NE. Suite 710
Wasbington. DC 20002
Telephone (202) 4642142 Fax (202) 4642159