Alexi Giannoulias


You
are
cordially
invited
to
join
Cristina
Castro
and
Laura
Fletcher
For
an
evening
reception
to
meet
U.S.
Senate
Candidate
Alexi
Giannoulias
Illinois
State
Treasurer
Thursday,
September
24,
2009
7:00
p.m.­9:00
p.m.
Piper’s
Banquets
1295
Butterfield
Road
Aurora,
IL
Host:
$1,000
Sponsor:
$500
Friend:
$250
Supporter:
$100
Guest:
$50
RSVP
REQUIRED
For
more
information
please
contact
Sarah
Glavin
at
[email protected]
or
at
312.373.9382.
Contributions
or
gifts
to
Alexi
for
Illinois
are
not
tax
deductible.
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.
Federal
law
permits
contributions
from
an
individual
totaling
up
to
$2,400.00
per
election,
with
the
primary
and
general
elections
considered
separate
elections.
Contributions
to
the
campaign
from
corporations,
labor
organizations,
and
national
banks;
from
any
person
contributing
another
person’s
funds;
from
foreign
nationals
who
lack
permanent
resident
status;
and
from
federal
government
contractors
are
strictly
prohibited.
Alexi
for
Illinois
does
not
accept
contributions
from
currently
registered
federal
lobbyists,
corporate
political
action
committees
or
minors
under
the
age
of
18.
Paid
for
by
Alexi
for
Illinois
***Please
include
this
page
with
your
contribution***
AMOUNT:
$
______________
I
was
referred
by:
____________________________________
_____Yes,
I
want
to
volunteer
Contribute
by
Personal
Check
Payable
to:
Alexi
for
Illinois
P.O.
Box
494
*
Chicago,
IL
60690
Contribute
Online
https://alexiforillinois.ngphost.com/crmapi/contribute
First
&
Last
Name: _________________________________________________________________________________________________________________________________________ Address: ____________________________________________________________________________________________________________________________________________________ City/State/Zip: _____________________________________________________________________________________________________________________________________________ If
foreign
address
provide
US
passport
number:
_____________________________________
Employer:
_____________________________________________
Occupation: ___________________________________________________________________________________ Work
Phone:
__________________________________________
Work
Fax: _____________________________________________________________________________________ Home
Phone:
__________________________________________
E‐mail: _________________________________________________________________________________________ I
certify
that
I
am
a
U.S.
citizen
or
legal
permanent
resident
of
the
U.S.
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.
Second
First
&
Last
Name**: ______________________________________________________________________________________________________________________________ **For
joint
contributions,
contributions
will
be
evenly
attributed
between
names.
2nd
Name
Employer:
__________________________________
2nd
Name
Occupation: ______________________________________________________________________ 2nd
Name
Work
Phone:
__________________________________
2nd
Name
E‐mail: ____________________________________________________________________________ I
certify
that
I
am
a
U.S.
citizen
or
legal
permanent
resident
of
the
U.S.
Signature:
____________________________________________________________
Contribute
by
Credit
Card
please
fill
out
below:
Please
bill
my
personal
credit
card:
Visa
MasterCard
AMEX
Discover
Card
Number:
__________________________________________________________________________________
Exp: ________________________________________________ Name
as
it
appears
on
the
card: __________________________________________________________________________________________________________________________ Signature:___________________________________________________________________________________________________________________________________________________ 2nd
Name
Signature,
if
Joint
Account: ____________________________________________________________________________________________________________________ Contributions
or
gifts
to
Alexi
for
Illinois
are
not
tax
deductible.
Federal
law
permits
contributions
from
an
individual
totaling
up
to
$2,400.00
per
election,
with
the
primary
and
general
elections
considered
separate
elections.
Contributions
to
the
campaign
from
corporations,
labor
organizations,
and
national
banks;
from
any
person
contributing
another
person’s
funds;
from
foreign
nationals
who
lack
permanent
resident
status;
and
from
federal
government
contractors
are
strictly
prohibited.
Alexi
for
Illinois
does
not
accept
contributions
from
currently
registered
federal
lobbyists,
corporate
political
action
committees
or
minors
under
the
age
of
18.
Paid
for
by
Alexi
for
Illinois