Please Join

Assembly Speaker Carl Heastie

AND

Assembly Majority Leader

Joseph Morelle
For a reception in support of

Tuesday, March 14th, 2017

6:00 PM 8:00 PM
Hilton Albany
40 Lodge Street ! Albany, NY
Contribution Levels
$18,162 ~ $10,000 ~ $5,000 ~ $2,500 ~ $1,000 ~ $500
To RSVP: Matt@NashbanMansur.com or (212) 213-2660
Online: https://act.myngp.com/Forms/-2528910369656666368
Produced in-house by Lavine for Nassau
 Reception for Chuck Lavine
": Yes, I will join Speaker Carl Heastie at the reception for Chuck on March 14th at the Hilton Albany!
" $500 " $1,000 " $2,500 " $5,000 " $10,000 " $18,162 " Other $_______
": Unfortunately, I cannot make it, but enclosed is my contribution of: $_____________

Name: _______________________________________________________________________________

Occupation: __________________________________________________________________________

Company/Organization:

Home Address:

City/State/Zip: _______________________________________________________________________

Email:

Work Phone: ____________________________ Home Phone: ________________________________

Please make checks payable to Lavine for Nassau and mail to:

Lavine for Nassau

P.O. Box 23
Sea Cliff, NY 11579

Please charge my contribution to: Visa MasterCard American Express Discover

Name as it appears on card
Card # Exp. CVV
Amount $ Signature

Questions? Contact Matt Bitz at Matt@NashbanMansur.com or

(212) 213-2660

Give online https://act.myngp.com/Forms/-2528910369656666368

The maximum contribution for Individuals, PACs and Partnerships is $18,486 for the Primary election.
The maximum contribution for Corporations is $5,000 in total aggregate giving per year. Political
contributions are not tax deductible as charitable contributions.

Produced in-house by Lavine for Nassau