The Host Committee

Claire Benjack, Andria McClellan, Deborah Thorpe, Elizabeth Aucamp, Lauralee Grim, Toni Mote, Diane Kaufman (Norfolk City Democratic Committee Chair), Sharon McDonald (Norfolk Commissioner of the Revenue), Sandra Brandt (2nd District Democratic Committee Chair)

The Host Committee cordially invites you to join them for a reception honoring

Paul Hirschbiel
Democratic candidate for Virginias 2nd Congressional District
Tuesday, October 23rd, 2012 6:00 - 8:00 PM
At the home of Claire and David Benjack 7307 Heron Lane Norfolk, VA 23505
$100 for Co-Host $50 for Sponsors
Suggested Contribution:

$25 per person

(Maximum contribution $2,500 per person, $5,000 per couple) Federal law prohibits the acceptance of corporate contributions.

RSVP REQUIRED R.S.V.P. to katie@hirschbielforcongress.com or call (757) 362-3300

Contributions to Hirschbiel for Congress are not tax deductible for federal income tax purposes. Federal law prohibits the acceptance of corporate checks. Printed in-house. Paid for and Authorized by Hirschbiel for Congress.

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P.O. Box 8728 Virginia Beach, VA 23450 (757) 880-0300 www.hirschbielforcongress.com

Hirschbiel for Congress

***Please include this page with your contribution***

Yes, I would like to attend and support the 2012 election of Paul Hirschbiel. Enclosed is my contribution of $___________ I am unable to attend, but would like to help with a contribution of $_______.

Please make checks payable to: Hirschbiel for Congress P.O. Box 8728 Virginia Beach, VA 23450

Amount: $_______________
(Maximum contribution is $2,500 per person)

Card Number: __________________________________Exp: _____________ Name as it appears on the card: ______________________________________ Signature: _______________________________________________________
By signing above, you authorize us to charge your card in the amount indicated. You also affirm that your contribution is made from personal funds and not from funds otherwise prohibited by law. Under federal law, an individual may give up to $2,500 per election (primary and general) for a total of $5,000 to a federal candidate. Federal law prohibits contributions to the campaign from corporations, labor organizations, and national banks; from any person contributing another persons funds; from foreign nationals who lack permanent resident status; from federal government contractors. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and employer of individuals whose contributions exceed $200 in an election cycle.

First & Last Name: __________________________________________________ Address: __________________________________________________________ City/State/Zip: _____________________________________________________ Employer: ______________________ Occupation: _______________________ Work Phone: ____________________Work Fax: _________________________ Home Phone: ___________________ Email: ____________________________
Contributions to Hirschbiel for Congress are not tax deductible for federal income tax purposes. Federal law prohibits the acceptance of corporate checks. Printed in-house. Paid for and Authorized by Hirschbiel for Congress.