Join Congressman Devin Nunes

Join Congressman Devin Nunes
and radio personality Ray Appleton
for the Campaign for Water kickoff.
Thursday, November 12 @ 5:30pm
Visalia Fox Theater—308 W. Main Street
This informative and inspiring briefing includes the premier of a new
documentary “Dead Harvest” by an Emmy-award winning filmmaker.
.
Sponsorship Levels:
$2,700 Platinum Sponsor
$1,500 Gold Sponsor
$500 Silver Sponsor
$250 Bronze Sponsor
$100 Per Couple to Attend
Students free with student ID
For Tickets please email: [email protected] or call 559.739.8903.
You may also fill out the attached form and fax or email it in.
Campaign For Water RSVP Form
Sorry, I/we will not be able to attend, enclosed is my contribution to help support the campaign.
Yes, I/we will be able to attend.
Sponsorship Levels:
____
____
____
____
____
____
$2,700 Platinum (30 Tickets)
$1500 Gold (20 Tickets)
$1,000 Silver (10 Tickets)
$250 Bronze (5 Tickets)
$100 Per Couple (2 Tickets)
Student Free w/ Student ID
Names of Attendees:
Federal law requires campaigns to use their best efforts to collect and report the name, mailing address, occupation
and name of employer for individuals whose contributions exceed $200 in an election cycle.
Name/Spouse
Occupation/Title
Company/Employer
Address
aaaa
Home
Business
City, ST Zip
Email
Phone
Home
aaaa
Business
Fax
Cell
Contribution by Personal Check
__________ I attest that the check provided is a personal check and not drawn on a corporate or otherwise
(please initial)
prohibited account.
If the contribution is drawn from a non-corporate partnership, please specify the allocation amounts between
partners below or enclose additional documentation (i.e. Partner X 10% and Partner Y 90% or Husband 50% and Wife 50%).
Contribution by Credit Card
By signing below, I agree to the charges indicated and I attest that the credit card provided is a personal card
Card Type
Exp Date: ____ / ____
(Circle One)
Card #
Amount
$
Signature
Please mail this form to:
Congressman Devin Nunes
PO Box 6545
Visalia, CA 93290
Fax to 866-412-3824
Any questions, please call:
559.739.8903 or email
[email protected]
Paid for and Authorized by the Devin Nunes Campaign Committee.
Contributions to the Devin Nunes Campaign Committee are not tax deductible for federal income tax
purposes. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer
of each individual whose contributions exceed $200 in an election cycle. Contributions by corporations, labor unions, federal contractors,
and foreign nationals are prohibited. Individuals may contribute up to $2,600 per election (primary and general) for a total of $5,000.
Federal multi-candidate PAC’s may contribute up to $5,200 per election (primary and general) for a total of $10,000.