SENATOR LEAHYS ANNUAL ICE CREAM SOCIAL

Thursday, July 12, 2012

6:00-8:00 PM

Jones Day Rooftop

300 New Jersey Avenue, NW
Washington, DC 20001

_____Yes, I would like to join the Scooper-Duper Host Committee

___ As a Sponsor - $1000

___ As a Co-host - $250

*In order to be listed as a sponsor or co-host on the invitation please reply by Thursday, June 14.

____ No, I cant co-host but would like to contribute. Enclosed is $ _______
___ I will attend ___ I cant make it

Ticket prices will be:

$1000 Sponsor * $250 Co-host * $100 Leahy Fan * $50 Supporter *Kids under 16 are free!
To contribute online, please visit: http://leahyforvermont.com/
Please make checks payable to Leahy for U.S. Senator
10 G Street, NE Suite 570
Washington, DC 20002

Please contact Jennings Heussner at (202) 682-2202 with any question

Please bill my personal credit card: ___Visa ___MasterCard ___American Express
Card Number: _______________________________________________Exp: _____________
Name on card: ________________ _______

Signature:____________________________

Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and employer of individuals whose
contributions exceed $200 in an election cycle.

Name:_______________________________________________________________________
Address:_____________________________________________________________________
City/State/Zip:________________________________________________________________
Employer:____________________________ Occupation:_______________________________
Home Phone:_______________________ Office Phone:_______________________________
Email:________________________ Favorite Ben & Jerrys flavor:_______________________

To RSVP, please mail this form w/ enclosed return envelope, or email as an

attachment to jheussner@cfc-dc.com, or via fax (202) 682-1918
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.