Please

Join

Senator Bill Nelson

For Breakfast In Support of

Senator John Walsh

Thursday, June 19th, 2014

8:15AM

At

Democratic Senatorial Campaign Committee

120 Maryland Avenue, NE
Washington, D.C., 20002

Requested Contribution Levels:

$2,600 ~ $1,000 ~ $500

For more information, or to RSVP, please contact

Ashley Flanagan at (202) 546-5004 or ashley@ffandcompany.com

Paid for by Walsh for Montana.

Contributions or gifts to Walsh for Montana are not tax deductible.

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

Walsh for Montana Contribution Form

June 19th Breakfast

____Yes, I will attend and make a contribution of $___________

____No, I cannot attend, but please accept my contribution of $__________

Mail Your Check or Fax Contributions to:

Walsh for Montana

220 I Street NE, Suite 250
Washington, DC 20002
Fax Number: (202) 354-5356


Credit Card # _______________________________________________________________Exp._________________________

Signature required _______________________________________________________________________________________

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.

Federal Law Requires Us To Use Our Best Efforts To Collect And Report The Name, Mailing Address, Occupation, And
Employer For Each Individual Whose Aggregate Contributions Are In Excess Of $200 In An Election Cycle.
Contributions From Corporations, Labor Unions, Federal Contractors, National Banks and other Federally Prohibited
Sources Are Not Permitted.

Name(s):___________________________________________________________________________________________________

Occupation:______________________________________________Employer:______________________________________

Address:___________________________________________________________________________________________________

City:_______________________________________________________State:_________________Zip:_____________________

Business Phone: ______________________________________Home Phone: ____________________________________

Email:___________________________________________________________Fax:_____________________________________

Contributions or gifts to Walsh for Montana are not tax deductible. Federal law allows individuals to donate up to
$5200 per election cycle: $2600 for the Primary Election and, $2600 for the General Election. Federal law prohibits
contributions from corporations, labor organizations and national banks; from any person contributing another
persons funds; from foreign nationals who lack permanent resident status; and, from federal government
contractors.

If this contribution is from more than one individual, please provide the requested information and signature for
each. If two signatures are provided, you both affirm that your contribution is made from a joint account.

for Montana.
Paid for by Walsh

Contributions or gifts to Walsh for Montana are not tax deductible.

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