A Special Evening In Support Of Cory Booker For Senate

Please Join

Ben Lap, Mitchell Berger and Michael Cohen

Michael Albetta and Ron Mills

host committee still in formation

and

Mayor of Newark, New Jersey

Cory A. Booker

for a special evening in support of

Cory Booker for Senate

Friday, March 22, 2013

5:30 pm – 7:30 pm

Home of Ben Lap

320 North Gordon Road

Fort Lauderdale, FL 33301

Suggested Contribution

$1,000 Co-Host

$500 Sponsor

$250 Friend

$100 Supporter

To RSVP

Visit: corybooker.com/fortlauderdale  

or email: RSVP@corybooker.com

Contributions or gifts to Cory Booker for Senate are not tax deductible. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation & name of employer for each individual whose contributions exceed $200 in an election cycle. Contributions by foreign nationals are prohibited. Contributions from corporations are prohibited.

Paid for by Cory Booker for Senate

Please join us in Fort Lauderdale in support of Booker for Senate

Friday, March 22, 2013 | 5:30 – 7:30 pm 

Home of Ben Lap

320 North Gordon Road

Fort Lauderdale, FL 33301

$1,000 Co-Host | $500 Sponsor | $250 Friend | $100 Supporter

• I am delighted to attend the event in support of Booker for Senate. Total $______________.

I was invited to attend by ___________________________________.

I will be bringing the following guest: ___________________________.

• I am unable to attend the event, but would like to contribute. Total $________________.

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 in an election cycle.

NAME __________________________________________________________________________________

OCCUPATION___________________________________________________________________________

EMPLOYER ___________________________________________________________________________

MAILING ADDRESS______________________________________________________________________

CITY ___________________STATE___________________ZIP____________________________________

EMAIL ______________________________PHONE_____________________ FAX_________________

Checks can be made payable to Booker for Senate and returned with completed form to:

Booker for Senate

PO Box 32237

Newark, NJ 07102

To RSVP via credit card, please complete and return this form or visit corybooker.com/FortLauderdale

If you have questions or would like additional information, please e-mail RSVP@corybooker.com

or call (973) 623-0692.

Card Type: __Visa __MasterCard __American Express

Billing Address (If different than above):_____________________________________________________

Amount of Contribution: $_________________________________________________________________

Acct #: _______________________________ Expiration Date: ____________  CVV Code: ________________

Contributions or gifts to Cory Booker for Senate are not tax deductible.  Federal law requires that only personal funds or funds from federally registered Political Action Committees (PAC) can be accepted.  Corporate checks or funds, funds from government contractors and foreign nationals, and contributions made in the name of another cannot be accepted.  Individuals may contribute up to $2,600 for the primary election and $2,600 for the general election for a maximum of $5,200.  Political Action Committees may contribute up to $5,000 for the primary election.

Paid for by Cory Booker for Senate 3313-AG