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You Are Cordially Invited to a Luncheon Honoring

Senator Patty Murray


(Washington)

Tuesday, June 23, 2009
12:00 noon
The Source
555 Pennsylvania Avenue, NW
Washington, DC

**NOTE: Seating is limited and will be reserved on a first-come, first-
served basis**
Suggested Contribution:
$5,000 Host/$2,500 PAC/$1,000 Individual
To RSVP, please email peopleforpattymurray@gmail.com or call 202.485.3138
Please Make Checks Payable To:
People for Patty Murray
122 Maryland Avenue, NE
Washington, DC 20002
Paid For by People for Patty Murray.


06.23.09 Luncheon
DONOR CARD
Contributions are limited to $2400 per individual and $4800 per couple per election. The primary and general
elections are separate elections, so individuals may give a total of $4800 for both elections, while couples may
give a total of $9600.
Contributions to People for Patty Murray are subject to the prohibitions and limitations of the Federal Election
Campaign Act. Contributions from corporations, labor unions, national banks, federal contractors and foreign
nationals who are not admitted for permanent residence in the United States are prohibited. The decision by a
minor to contribute must be knowing and voluntary; the contributed funds, goods, services must be owned and
controlled exclusively by the minor and not controlled by any other individual; contributions may not be made
from gifts made to the minor to provide funds for contributions. All contributions must be made from
personal funds and may not be reimbursed or paid by any other person.
Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and name
of employer of individuals whose contributions exceed $200 per election cycle.
Please Make Checks Payable To:
People for Patty Murray
122 Maryland Avenue, NE
Washington, DC 20002
Donation Amount :_______________________
Name(s):
_____________________________________________________________________________________________
___
(Contributor) (Second Contributor, if applicable)
Home Address:
__________________________________________________________________________________________
City: ______________________________________________ State: ________________ Zip Code:
______________________
Occupation:
_____________________________________________________________________________________________
(Contributor) (Second Contributor)
Employer: ___________________________________________________________ Phone (W):
_________________________
(Contributor) (Second Contributor)
Phone REQUIRED (H): ___________________________________
(C):____________________________________________
E-Mail: _____________________________________________________ Fax:
_______________________________________
If you prefer to pay by credit card, please complete the following:
Credit Card Type: _____Visa _____MasterCard _____American Express _____Discover
Name on Card: ___________________________________________________________ Amount:
_______________________
Billing Address (If Different):
_______________________________________________________________________________
Card Number: _____________________________________Security Code:____________ Exp. Date:
____________________
YOU MUST ALSO SIGN BELOW: BY SIGNING BELOW
I affirm that I am making this contribution with my own personal funds, and I am not using funds provided by any
other person.
I agree that the initial $2400 of my contribution is designated for the primary and any additional amount up
to $2400 is designated for the general election campaign, up to a total of $4800 for both elections.
(For credit card contributors only): I am affirming that I am making this contribution on my own personal credit
card and not with a corporate or business card or a credit card issued to or paid by anyone else (except for my
spouse).
Contributor Signature (REQUIRED):
________________________________________________________________________

Second Contributor Signature for J oint Accounts (REQUIRED):
___________________________________________________
Paid for by People for Patty Murray
Contributions to People for Patty Murray are not deductible for federal income tax purposes.

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