8/12/2019 Branch Invite
1/1
The favor of a reply is requested by April 1st toKelly Carnal or
Susan Lilly at 512-477-7722
by email to [email protected],or by faxing this form to
800-433-1387.
You are cordially invited toa reception honoring
WEDNESDAY, APRIL 2, 20145:00PM-6:30PM
THE AUSTIN CLUB110 EAST 9TH STREETAUSTIN, TEXAS 78701
$10,000* $5,000* $2,500* $1,000* $500*
$125 / $250 Individual / Couple
P L E A S E C O U N T O N M E / U S AT T H E F O L L O W I N G L
E V E L :
NAME(S)/ORGANIZATION
ADDRESS CITY STATE ZIP
WORK PHONE CELL PHONE
FAX EMAIL
EMPLOYER OCCUPATION
IF CONTRIBUTING BY CREDIT CARD: MASTERCARD VISA AMERICAN EXPRESS
AMOUNT TO BE CHARGED
CREDIT CARD NUMBER EXPIRATION DATE SECURITY CODE (3-digit
MC/Visa, 4-digit AMEX)
SIGNATURE SPOUSE SIGNATURE (IF JOINT CONTRIBUTION)
Under state law, individuals, partnerships, limited liability
companies, and PACs may contribute to political campaigns.
Contributions from corporations, laborganizations, or foreign
nationals, who have not been granted permanent residence in the
United States, are not acceptable. Contributions are not tax
deductible for federal income tax purposes. State law requires
us to use our best efforts to collect and report the full name and
address, principaloccupation or job title, and full name of
employer of individuals whose contributions equal or exceed $500 in
a reporting period.
POLITICAL AD PAID FOR BY TEXANS FOR DAN BRANCH
Checks may be made payable to Texans for Dan Branch and mail to
1005 Congress Avenue, Suite 910; Austin, Texas 78701.
Sorry, I/we cannot attend but I/we want to support Chairman
Branch and will send a contribution of $_____.
$
*Host levels will receive special recognition at the event.
HOST COMMITTEEAndrews & Kurth PAC
Baker Botts Amicus FundBlackridge/Rusty Kelley, Carol McGarah,
Sara Sachde
Bracewell & Giuliani CommitteeCombined Law Enforcement
Association of Texas (CLEAT)
Cammack & Strong, PCDallas Police Association (DPA)
Fulbright & Jaworski, PACHillCo PAC
The Graydon GroupSusan Grif th
Jackson Walker, LLPKenneth M. Jastrow, IILubbock Professional
Police Association
San Antonio Police Of cers AssociationTexas Apartment
Association
Texas Association of Builders (HOMEPAC)Texas Association of
Business (BACPAC)
Texas Attorney General Peace Of cers Association (TAGPOA) Texas
& Southwestern Cattle Raisers (TSCRA PAC)
Texas Chapter of the American College of Cardiology HeartPATexas
Dental Association PAC (DENPAC)
Texas Farm Bureau (AGFUND)Texas Forestry Assocation (FORPAC)
Texas Homecare and Hospice PACTexas Hospital Association
(HOSPAC)Texas Medical Association (TEXPAC)
Texas Municipal Police Assocation (TMPA)Texas Oral and
Maxillofacial Surgeons PAC
Texas Society of Anesthesiologists PACTexas Veterinary Medical
Association
Thompson & HortonPete Winstead
*partial listing at time of printing
