JEANNIE & LELDON SWEET, M.D.

KAY & LONNIE ARRINGTON

DR. QAMAR & KELLI ARFEEN
SUE & ROBERT CLEVELAND
C. DOORNBOS FAMILY
LAUREY & KEVIN HARMON, M.D.
JOHN A. HENDERSON IV, M.D.
JORGE HERNANDEZ, M.D.
BECKY & JOE HOLLAND, M.D.
DRS. SAKU & NAT KUMAR

LAURA & STEVE LaMENDOLA, M.D.

HAZEL & LAMONT MEAUX
MARY GRACE & RICHARD LEVACY, M.D.
BARBARA & TED MOOR
SUSAN & JORDAN REESE
DR. & MRS. RUDY P. SOTOLONGO
MICHAEL TRUNCALE
JEANIE & WAYNE TURK
KARA & DR. KEITH A. WIED

REQUEST YOUR PRESENCE

WITH

HEIDI & TED CRUZ

th
19

BENEFITING CRUZ FOR PRESIDENT

MAY

TUESDAY

MCM Elegante Hotel

Diplomat Room
2355 Interstate 10 S
Beaumont, TX 77705
VIP RECEPTION
6:00 PM 6:30 PM
GENERAL RECEPTION
6:30 PM - 8:00 PM
RSVP: Dana Parish at dparish@tedcruz.org or 713-353-4410
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 acceptance form

Maximum Campaign Contribution:

Primary $2,700 (PER PERSON) / $5,400 (PER COUPLE)
Primary & General $5,400 (PER PERSON) / $10,800 (PER COUPLE)

$1,000 VIP Reception: Yes, I would like to attend the VIP Reception!
General Attendance: Yes, I would like to attend, please accept my contribution of
$500

$250

$200

$150

$100

I cannot attend, but please accept my contribution of $______________.

Name:__________________________________________________________________________________________________________________________
Address:____________________________________________________ City, State, Zip:________________________________________________
Home Phone:___________________________ Office Phone:___________________________ Cell Phone:___________________________
Email:_____________________________________________________ Fax:_______________________________________________________________
Employer:_____________________________________________________ Occupation:_________________________________________________
Spouses Employer:___________________________________________ Spouses Occupation:_____________________________________
Contribution Referred By (if applicable): _______________________________________________________________________________
Enclosed is my check payable to Cruz for President or please charge my:

Amex

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MC

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Total $:________________________________ Cardholder Name:_________________________________________________________

Card Number:____________________________________________________ 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:

__________________________________________________________________

__________________________________________________________________

Signature of Contributor

Signature of Spouse (if joint contribution)

TO PARTICIPATE: Please contact Dana Parish via email at dana@tedcruz.org, via phone at 713-353-4410 or mail form to
Cruz for President, 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.

Paid for by Cruz for President

FETX0009'

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