DONOR INFORMATION (*REQUIRED FOR REPORTING PURPOSES)
*DONOR
NAME_______________________________________________________________CELL
PHONE___________________________________________
*STREET
ADDRESS___________________________________________________CITY/STATE/ZIP_______________________________________________
*OCCUPATION______________________________________________________*EMPLOYER______________________________________________________
WORK
PHONE___________________________________________EMAIL_______________________________________________________________________
GUEST
NAMES:_________________________________________________________________________________________________________________________
PAY BY CREDIT CARD OR BY CHECK MADE PAYABLE TO ROCKY CHAVEZ FOR
CONGRESS AND MAIL TO ROCKY CHAVEZ
FOR CONGRESS, 1225 8TH STREET, SUITE 240, SACRAMENTO, CA
95814
DONOR NAME ON
CARD________________________________________________SIGNATURE_________________________________________________
TYPE (CIRCLE ONE) MC/VISA/AMERICAN EXPRESS
CARD
NUMBER________________________________________________________EXPIRATION
DATE____________SECURITY CODE_____________
ADDRESS ON CARD (BUSINESS
ADDRESS)___________________________________________________________________
IS THIS A BUSINESS CARD? (YES/NO) IF YES, WHAT IS THE BUSINESESS
NAME?_______________________________________________Federal law
requires us to use our best efforts to collect and report the name,
address, occupation, and employer of each individual
whose contributions exceed $200 in an election cycle.
Contributions are not tax deductible. Contributions are limited to
$2700 per elec-tion, with a maximum of $5400 per election cycle.
Federal law prohibits contributions from corporations, labor
organizations, national
banks, federal government contrators, and foreign nationals who
lack permanent resident status.
Paid for by Rocky Chávez for Congress
RSVP to Erin WolffP: (916) 669-9372
[email protected] RSVP online at www.aim-point.com
Suggested Contribution: $150 per person$250 per couple
Hosts Addie & Bobby Firtel • Allison & Paul Alanis •
John Tenaglia
Invite You to a Special Event SupportingColonel Rocky Chávez
Candidate for the 49th Congressional District
Saturday, May 19, 20185:30 PM to 7:30 PM
Saint Malo BeachAddress will be provided upon RSVP
