Reception

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THE LINCOLN CLUB OF ORANGE COUNTY

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HONORARY CO-CHAIRS COGovernor George Deukmejian Governor Pete Wilson Majority Whip Kevin McCarthy Congressman Ken Calvert Congressman John Campbell Congressman Dan Lungren Congressman Dana Rohrabacher Congressman Ed Royce Vice Chair Michelle Park Steel (State Board of Equalization) California State Senator Tom Harman California State Senator Mimi Walters Orange County Supervisor Shawn Nelson Assemblyman Allan Mansoor Orange County Supervisor Janet Nguyen Assemblyman Jeff Miller Mayor Doug Bailey (Cypress) Assemblyman Jim Silva Mayor Pro Tem Keith Curry (Newport Beach) Assemblyman Don Wagner Mayor Bill Dalton (Garden Grove) Orange County District Attorney Tony Rackauckas Mayor Troy Edgar (Los Alamitos) Councilmember Jeff Lalloway (Irvine) Orange County Sheriff Sandra Hutchens Orange County Supervisor Pat Bates Mayor Margie Rice (Westminster) Orange County Supervisor Bill Campbell Mayor Tom Tait (Anaheim) Orange County Supervisor John Moorlach Mayor Pro Tem Scott Voigts (Lake Forest) Mayor Carol Warren (Stanton)

Cordially Invite You To A Reception Supporting


Host Committee: $2,500 Individual Tickets: $250

Gary DeLong For Congress


Thursday, June 28, 2012
Please Note Date Change

5:30pm-7:00pm Reception Business Attire

The Inland Group


3501 Jamboree Road, South Tower Suite 606 Newport Beach, CA 92660

For more information or to RSVP, contact Stacy Davis at (949) 474-6930 or [email protected] Yes, I/We would like to support Gary and serve as a Host and raise/contribute $2,500 Please list me on the invitation as:_____________________________________________________________ Yes, I/We would like to attend and support Gary. Please reserve ____ tickets at $250 per person/$500 per couple No, I/We cannot attend, but would like to support Gary with a contribution of: $2,500 $1,000 $500 $250 Other

PAYMENT INFORMATION
Please mail checks to: Friends of Gary DeLong ~ 24651 Evereve Circle, Suite #1, Lake Forest, CA 92630 Email or fax donation: Fax: (949) 305-9919 Email: [email protected] Phone: (949) 474-6930 To Contribute By Personal Credit Card, Please Complete The Following:
Name on Card Card Number

Visa

AMEX

MC

Discover
Security Code

_________________________________________________________________________________________________
Exp. Date ____________________________________________________________________________________________________________________ Amount Signature of Contributor Signature of Spouse (REQUIRED for all joint contributions)

CONTRIBUTOR INFORMATION
(Federal Law Requires The Following Information For Donations Over $250)

__________________________________________________________________________________________________________
Full Name Employer Spouse Name (joint contribution only) Spouses Employer (joint contribution only)

__________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________ Occupation Spouses Occupation (joint contribution only) _____________________________________________________________________________________________________________________ Address City State Zip _____________________________________________________________________________________________________________________ Office Phone Mobile Phone Fax Phone Email
Contributions are not tax deductible for federal income tax purposes. The maximum contribution by an individual is $2,500 for the Primary and $2,500 for the General election. Spouses may each contribute the maximum amount and may contribute using one check, provided they both sign it. Contributions from corporations, labor organizations, federal government contractors, and foreign nationals without permanent residency (green cards) are prohibited.
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. Friends of Gary DeLongcollects these invitations from anonymous lobbyist sources. Paid for by The Sunlight Foundation

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