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THE DEMOCRATIC

NATIONAL COMMITTEE
AND

ROBERT RUBENSTEIN
CORDIALLY INVITE YOU TO A DINNER
WITH SPECIAL GUEST

Barack Obama
FRIDAY, JUNE 3RD | TIME: TBD
AT THE HOME OF
ROBERT RUBENSTEIN AND JANICE SANTIAGO
MIAMI, FLORIDA
ADDRESS PROVIDED UPON RSVP

Please contact Karina Marquez with any questions at


marquezk@dnc.org or (202) 488-5018

PAID FOR BY THE DEMOCRATIC NATIONAL COMMITTEE, WWW.DEMOCRATS.ORG. THIS COMMUNICATION IS NOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATES COMMITTEE.

YES! I/WE WOULD LIKE TO ATTEND THE DINNER ON JUNE 3RD:


___ $33,400 per person Yes, I would like to attend as a co-host (per couple)
___ $10,000 per person Yes, I would like to attend as a dinner guest
___ I am unable to attend, but would like to support the Democratic National Committee by contributing: $___________

Name(s) of attendee(s): ____________________________________________________________________


I was invited to attend by: ___________________________________________________________________

Please make checks payable to:


Democratic National Committee
Attn: Karina Marquez
430 S Capitol Street, SE
Washington, DC 20003
Total Amount: $________________
CLICK HERE TO CONTRIBUTE ONLINE:
https://finance.democrats.org/page/contribute/MiamiDinnerJune3
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 a calendar year.
First & Last Name: _________________________________________________________________________________________
Address: ________________________________________________________________________________________________
City/State/Zip: ___________________________________________________________________________________________
Contact Name: _____________________________________________ Title: _________________________________________
Work Phone: _______________________________________________ Home Phone: __________________________________
Email: __________________________________________________________________________________________________
Federal law prohibits foreign nationals, except lawfully admitted permanent residents of the U.S., from contributing to the
Democratic National Committee. By signing below, I certify that I am a U.S. citizen or lawfully admitted permanent resident of
the U.S., and that the funds I am donating are not being provided to me by another person or entity for the purpose of making
this contribution.
Signature: ______________________________________ Second Signature: ________________________________________
Second Name (printed): ____________________________________________________________________________________
Second Name Employer: ______________________________________ Second Name Occupation: _____________________
Contribute by Personal Check:
Please make checks payable to Democratic National Committee and mail to the address listed above.
Contribute by Credit Card:
Please bill my personal credit card: __Visa

__MasterCard

__AMEX

__Discover

Card Number: ___________________________________________________________________ Exp: ____________________


Name as it appears on the card: __________________________________________________________________________
Signature: _________________________________________________
* If contributing from joint account. Contributions made from joint accounts will be evenly attributed between names.
The Democratic National Committee will not accept contributions from currently registered federal lobbyists, registered
foreign agents, political action committees, or minors under the age of 16.
Federal law prohibits the acceptance of corporate or labor union contributions

FL232
PAID FOR BY THE DEMOCRATIC NATIONAL COMMITTEE, WWW.DEMOCRATS.ORG. THIS COMMUNICATION IS NOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATES COMMITTEE.

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