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PLEASEJOIN

PRESIDENTBILL -CLINTON
FOR A SPECIAL RECEPTION
INSUPPORT OF
CONGRESSMANERICMASSA (NY-29)
COMMiTTEEONAGRICULTURE
COMMiTTEE ONARMEDSERVICES
COMMiTTEE ONHOMELANDSECURITY
MONDA Y; AUGUST3, 2009
S:OO- 7:00PM
ATTHEHOMEOFPAUL BEIRNE
25 Central Park West
APT. 31-0
NEWYORK, NY
Please RSVP to Jacqui Samuels at 917-974-9373 or

Contributions or gifts to Massa for Congress are not tax deductible. Federal law requires us to use our best efforts to collect and to repnrt the name,
majHng address" occupation and name of employer oflndividuals whose contributions exceed $200 in an election <''Yc1e. Corporate contributions are
impermissible by federal law.
Fax Paid for by the DCCC and Authorized by Massa for Congress
SPECIAL RECEPTION IN SUPPORT OF CONGRESSMAN ERIC MASSA
AT THE HOME OF PAUL BEIRNE -MONDAY, AUGUST3
RD
, 2009
Yes! I would like to attend this event at the following level:
J $4,800 Host Committee
;J $2,400 Sponsor
[; $1,000 Inner Circle
Name(s) of Attendee(s) - Required:
iJ I cannot attend, but would like to support Massa for Congress by contributing $
PLEASE COMPLETE THE FOLLOWING: (Be SIl,e toprovi""your ...moil addns. to """""" importlUfl """"t updat..)
To contribute by PERSONAL CHECK, please make your contribution payable to "Massa for Congress" and mail to;
Massa For Congress
60 East Market St. #244
Corning, NY 14830
To contribute by PERSONAL CREDIT CARD, please provide the following information and mail to the address above:
Please charge $ to my personal, not corporate, credit card: Visa I Mastercard I AMEX
Name ofCardholder:
Credit Card #: Exp.Date:
Pl.....ign below: I am making this contributlnn witb my own personal funds and not witb funds prOVided by any other person.
Signature Required:
Name: E-Mail:
Occupation (required):
Employer (required):
Address:
City: State: Zip:
Home Phone: Work Phone:
Mobile Phone: Fax:
Contributions to ~ fur Congress are limited to $4,800 per individual. Contributions are subject to fue prohibitions and limilalions offue Federal Election Campaign
Act. ConOibutioIlB from corporations, national banks, federal contractors, and foreign nationals who are not admitted for permanent reSidence in the tJaiLed States arc
prohibited. Federal law requires us to use our best eftbrts to collect and report the name, ll'iailing address. occupation and name of employer of individuals whose
contJibutions excocd $200 in an election eyel".: Contributions or gifts arc oot tax deductible,
Fax Paid for by the DCCC and Authorized by Massa For Congress

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