20

16

OUR HOSTS

Yitz Applbaum
Marina Bejarano
Robin & Elliott Broidy
Dr. Ben Chouake
Elissa & Edward Czuker
Joyce & Robert Giuffra
Jean Claude Gruffat
Ben Heller
Margarita Palau Hernandez
Laura & Paul Jost
Batya & Ben Klein

for a

Eytan Laor
Eliot Lauer
Leora & Steve Levy
Thomas Lehrman
Aryeh Lightstone
Steve Lonegan
Mica Mosbacher
Michael Olshan
Aaron Poynton
Stephen Rodriquez
Trudy & Stanley Stern

FUNDRAISING RECEPTION WITH

HEIDI & TED CRUZ

b e n e f i t i n g C r u z f o r Pr e s i d e n t

Monday, April 18th, 2016

VIP Reception: 6:30 PM - 7:30 PM

General Reception: 7:30 PM - 8:30 PM

Location Provided Upon RSVP

RSVP TO LILA ONTIVEROS:
lila@tedcruz.org or 281-467-3759
Paid for by Cruz for President

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

TED CRUZ CONTRIBUTION FORM

EVENT CHAIR: $25,000 (GIVE/RAISE)
HOST COMMITTEE: $10,800 (GIVE/RAISE)
VIP RECEPTION: $2,700 PER PERSON
GENERAL RECEPTION: $1,000 PER PERSON
Other: $_________________
I cannot attend, but please accept my contribution of $_____________________.
Name:
Address:
Home Phone:

City, State, Zip:

Cell Phone:

Office Phone:

Fax:

Email:
Employer:

Occupation:

Spouse's Employer:

Spouse's Occupation:

Contribution Referred By (if applicable):

FBMD0002

Enclosed is my check payable to "Cruz for President" or please charge my: Amex Discover MC Visa
Total $:
Card Number:

Cardholder Name:
Expiration Date:

CVV:

Required Signature(s): I certify this contribution is drawn on my personal checking account or credit card, represents my personal
funds, and is not drawn on an account maintained by a corporate entity:

TO PARTICIPATE: Please contact Lila Ontiveros at lila@tedcruz.org or 281-467-3759 or mail form to:
P.O. Box 25384, Houston, TX 77265
The maximum contribution an individual may make to Cruz for President is $5,400 ($2,700 to the primary election; $2,700 to the general
election). A couple may contribute up to $10,800 from a joint account as long as both individuals sign the check or sign above. A multicandidate
federal PAC may contribute up to $10,000 ($5,000 to the primary election; $5,000 to the general election).
Contributions to Cruz for President are not deductible for federal income tax purposes. Contributions from corporations, foreign nationals and
federal government contractors are prohibited. Federal law requires us to use our best efforts to collect and report the name, mailing address,
occupation and name of employer for each individual whose contributions exceed $200 per election cycle.
Paid for by Cruz for President

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