HONORARY CHAIRPERSONS

Republican National Committee

Hon. Virginia Haines
Hon. William Palatucci

CHAIRPERSONS
Christine Bator
Hon. Leanna Brown
Irene Kim Asbury
Maria Bua
Christine Hanlon
Linda Post
Phylissanne Stehn
Candace Straight
Tracy Sipprelle
Sue Tisiker
Patricia Walsh
Hon. Barbara Wright

NJ State Senators
Hon. Diane B. Allen
Hon. Jennifer Beck
NJ Assemblywomen
Hon. Mary Pat Angelini
Hon. Caroline Casagrande
Hon. BettyLou DeCroce
Hon. Diane C. Gove
Hon. Amy H. Handlin
Hon. Alison Littell McHose
Hon. Nancy F. Munoz
Hon. Holly T. Schepisi
Hon. Donna M. Simon
Kristen Appleget
April Bengivenga
Jodi Bouer
Dorothy Burger
Jim Castelize
Mary Chyb
Steve Cook
Jill Jachera

HOST COMMITTEE
In Formation
Janice Digiuseppe
Sylvia Engel
Linda Geevers
Skye Gilmartin
Hollie Gilroy
Bobbie Goodman
Paul Hummel
Hon. Peter & Geraldine Inverso

Roslyn Kane
Anna Lustenberg
Janice Mintz
Robert and Kathy Murray
Michelle Noone
Jacqueline O'Sullivan
Linda Pagliughi
Christina Ramirez

Invite you to join Women for Eck at a reception in honor of

Alieta Eck, M.D.

Candidate for US Congress,
NJ District 12
with Guest of Honor

Hon. Christine Todd Whitman

NJ Governor 1994-2000
Thursday, June 19, 2014
6:30 to 8:30 pm
The Historic Cranbury Inn
21 South Main Street
Cranbury, NJ 08512
Gold Sponsor $1,000 | Silver Sponsor $500 | Ticket $100
Please make Checks Payable to
Dr. Alieta Eck for Congress
P.O. Box 5070, Somerset, NJ 08875
or Donate Securely Online at www.eckforcongress.com
For more information, contact Chris Pordon at 609-651-0748 or chris@eckforcongress.com

PLEASE MAKE CHECKS PAYABLE TO DR. ALIETA ECK FOR CONGRESS

YES, I WILL JOIN YOU FOR THE RECEPTION ON JUNE 19, 2014.
I WOULD LIKE TO BE A GOLD SPONSOR FOR $1,000 WITH ____ GUESTS ATTENDING.
I WOULD LIKE TO BE A SILVER SPONSOR FOR $500 WITH ____ GUESTS ATTENDING.
I WOULD LIKE TO ATTEND FOR $100 ALONG WITH ____ GUESTS.
NO, I WILL BE UNABLE TO JOIN YOU, BUT ENCLOSED IS A CONTRIBUTION OF $___________
I WOULD LIKE TO DONATE BY CREDIT CARD (CHECK ONE):
AMERICAN EXPRESS

VISA

MASTERCARD

DISCOVER

CARD NUMBER: _________________________________________ EXP. DATE: ____________ SECURITY CODE: ______________

PLEASE MAIL CHECK OR CREDIT CARD INFORMATION TO P.O. BOX 5070, SOMERSET, NJ 08875
___________________________________________________________________________________________________________________
NAME
EMAIL
___________________________________________________________________________________________________________________
CITY
STATE
ZIP
ADDRESS
___________________________________________________________________________________________________________________
BUSINESS PHONE
CELL PHONE
HOME PHONE
X ________________________________________________________________________
SIGNATURE
THE FOLLOWING IS REQUIRED FOR EVERY INDIVIDUAL WHO CONTRIBUTES OVER $200:
________________________________________________________________________________________
OCCUPATION
________________________________________________________________________________________
EMPLOYER

CONTRIBUTIONS TO DR. ALIETA ECK FOR CONGRESS ARE NOT TAX DEDUCTIBLE FOR FEDERAL INCOME TAX PURPOSES.
CONTRIBUTIONS TO DR. ALIETA ECK FOR CONGRESS WILL BE USED IN CONNECTION WITH A FEDERAL ELECTION AND ARE SUBJECT TO
THE LIMITATIONS AND PROHIBITIONS OF FEDERAL LAW. AN INDIVIDUAL MAY CONTRIBUTE UP TO $2,600 FOR THE PRIMARY
ELECTION AND UP TO $2,600 FOR THE GENERAL ELECTION FOR A TOTAL OF $5,200 ($10,400 PER COUPLE). CONTRIBUTIONS
FROM CORPORATIONS, FOREIGN NATIONALS, AND FEDERAL GOVERNMENT CONTRACTORS ARE PROHIBITED. CONTRIBUTIONS MUST BE
MADE FROM PERSONAL FUNDS AND MAY NOT BE REIMBURSED BY ANY OTHER PERSON. FEDERAL LAW REQUIRES US TO OBTAIN AND
REPORT THE NAME, MAILING ADDRESS, OCCUPATION, AND NAME OF EMPLOYER FOR EACH INDIVIDUAL WHOSE CONTRIBUTIONS
AGGREGATE IN EXCESS OF $200 IN AN ELECTION CYCLE.

PAID FOR BY DR. ALIETA ECK FOR CONGRESS