SAVE THE DATE

FIRST ANNUAL GOVERNORS GOLF OUTING

WITH
GOVERNOR MIKE PENCE
WEDNESDAY, JUNE 18, 2014
BRICKYARD CROSSING
INDIANAPOLIS MOTOR SPEEDWAY
4400 WEST 16TH ST.
INDIANAPOLIS, INDIANA
9:00 AM SHOTGUN START
2:00 PM LUNCH & AWARDS CEREMONY
GOLD SPONSOR: $5,000 SILVER SPONSOR: $2,500
FOURSOME: $1,250 BEVERAGE CART SPONSOR: $750
INDIVIDUAL $350 HOLE SPONSOR: $250
TO CONFIRM YOUR PARTICIPATION OR SERVE AS A SPONSOR, PLEASE CONTACT
ANNE DIXON AT (317) 694-1876 OR ANNEDIXON@MIKEPENCE.COM.

PLEASE MAKE CHECKS PAYABLE AND MAIL TO:
MIKE PENCE FOR INDIANA - 101 W. OHIO STREET, SUITE 1180 - INDIANAPOLIS, IN 46204
Contributions by corporations and labor organizations are limited to $5,000 annually; contributions by
individuals, LLCs and political committees are unlimited. Contributions are not deductible as charitable
contributions. Contributions from foreign nationals are prohibited.

Paid for and authorized by Mike Pence for Indiana Committee.

_____ YES, I/we will attend the event for Mike Pence on June 18, 2014 and participate at the
following level:
GOLD SPONSOR: $5,000 SILVER SPONSOR: $2,500
FOURSOME: $1,250 BEVERAGE CART SPONSOR: $750
INDIVIDUAL $350 HOLE SPONSOR: $250
If Sponsor, please list on the invitation as/and or register as:
____________________________________________________
If individual or foursome, please register as:
____________________________________________ ______
_____________________________________ __________
_____ UNFORTUNATELY, I/we cannot attend the event for Mike Pence, but have enclosed $__________ to
help ensure it is a successful event.
If paying by credit card, please provide the following and fax to (317) 663-0730
Amount of Contribution: $________________
Card (Please Circle One): Visa MasterCard American Express Discover
Number: _____________________________Security:______ Exp date:_____

Name on card:____________________________________________________

Signature: _______________________________________________________

Address:_________________________________________________________

Phone:_______________________ Email: _____________________________
Please make checks payable and mail to:
Mike Pence for Indiana - 101 W. Ohio Street, Suite 1180 - Indianapolis, IN 46204
Contributions by corporations and labor organizations are limited to $5,000 annually; contributions by individuals,
LLCs and political committees are unlimited. Contributions are not deductible as charitable contributions.
Contributions from foreign nationals are prohibited.
Paid for and authorized by Mike Pence for Indiana Committee.