WILLIAM SAMUELS 

INVITES YOU TO A RECEPTION SUPPORTING

STATE SENATOR ERIC T. SCHNEIDERMAN

Thursday, February 18, 2010
6:00-8:00PM

Home of William and Marie Samuels

18 East 18th Street, #4E
(Between Broadway and 5th Ave)
New York, NY 10003

To RSVP Please Call David Mansur at (212) 213-2660 or

email at DLMansur@gmail.com
Tickets:
$1,000 Friend  $2,500 Sponsor  $5,000 Supporter  $10,000 Chair

R.S.V.P. □ Yes, I would like to Support Senator Schneiderman
□ No, I cannot attend.
Enclosed is my contribution of $ _______.
Name:_____________________________________________________
Contribution Information
I am Contributing $ ______________.
I am paying by □ check (enclosed) □ credit card
_________________________________________________________________________
CARD NUMBER □ Amex □ Mastercard □ Visa □ Discover EXP. DATE

Organization:______________________________________________ _________________________________________________________________________
SIGNATURE

Please indicate type of Contribution

Address:___________________________________________________
□ Individual □ Corporation □ Partnership □ PAC
Please make check payable to , and enclose/return
City:___________________ State:________ Zip:________________ with form to:
Friends of Schneiderman
Telephone:_____________________ Fax:_______________________ C/O David Mansur Consulting
475 Park Ave South
6th Floor, Suite MSA
Email:_____________________________________________________ New York, NY 10016

The primary and general election contribution limit from individuals and partnerships to an individual Senator is $15,500. Corporations may contribute in the aggregate up
to $5,000 per calendar year. Political contributions are not tax deductible.