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Congresswoman Sandy Adams Birthday Event
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Dr. Kevin and Carolyn Accola Britt and Jan Beemer
Damon and Melanie Chase Bruce and Sandy Deardoff
Armando Gutierrez Oscar Juarez
Jennifer and Chris Kanistras Rick Lee
Joe Mantilla Richard McMillin
Walt Meloon Dr. Jeffrey Sevor
cordially invite you to a birthday fundraising reception honoring
Congresswoman Sandy Adams
24th Congressional District, Florida
Friday, December 2, 6:00-8:00pm
at the Home of Britt and Jan Beemer
5100 Crane’s Point Court, Orlando
To RSVP, please contact [email protected] or 561.212.6662 by November 29.
Please make checks payable to Sandy Adams for Congress.
Maximum allowable contribution is $2,500 per person per election, $5,000 per Federal PAC per
election. The primary and general are considered separate elections and individuals may contribute a total
of $5,000 and PACs a total of $10,000.
www.SandyAdams.com
If you are unable to attend, please mail the below form in or visit
www.sandyadams.com to contribute to the campaign for
Congresswoman Adams’ birthday.
____ Yes, I will attend, enclosed is my contribution of $____________.
____ No, I will not be able to attend, but enclosed is my contribution of $__________.
I would like to make a contribution by (check one): __ Visa __ M/C __ AMEX __ DISC __ Check
Credit Card Number ______________________________________ Exp.___________
Name on credit card ________________________________ Security Code* __________
Signature _______________________________________ Amount _______________
*The Security Code is the 4-digit number on the front of an American Express card, just above the last digit
of the card number, or the 3-digit number on the back of all other cards immediately to the right of the
signature box. This code is required to process a credit card contribution.
Please make checks payable to: Sandy Adams for Congress
Please provide the following information. 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.
Contributions are not deductible for income tax purposes. NAME _________________________________________________________
ADDRESS ______________________________________________________
CITY/STATE/ZIP_________________________________________________
PHONE (_____) ____________________ FAX (_____) __________________
EMPLOYER ____________________________________________________
OCCUPATION ___________________________________________________
EMAIL ADDRESS ________________________________________________
Contributions can be mailed to Sandy Adams for Congress,
PO Box 782148, Orlando, Florida 32878
or you can visit www.SandyAdams.com to contribute online.