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Nancy and Mark Gilbert

Cordially invite you to a

Fundraising Reception
in honor of

Congresswoman Debbie Wasserman Schultz (FL-20)


Budget Committee Chief Deputy Whip

in support of her re-election campaign Maximum: $5,000 Sponsor: $2,500 Guest: $500 Monday, November 28 7:30 PM 9:00 PM The home of Nancy and Mark Gilbert 2345 NW 45th Street Boca Raton, FL 33431
To RSVP, please contact Courtney Whitney at (305) 495-4847 or Courtney@dwsforcongress.com
PLEASE MAKE PERSONAL CHECKS PAYABLE TO: DEBBIE WASSERMAN SCHULTZ FOR CONGRESS OR YOU MAY GIVE ONLINE AT WWW.DWSFORCONGRESS.COM/CONTRIBUTE Paid for and authorized by DWS for Congress
Contributions to Debbie Wasserman Schultz for Congress are not tax deductible for federal income tax purposes. Contributions by corporations, foreign nationals, and political action committees are prohibited. Not printed at government expense.

Fundraising Reception on Monday, November 28, 2011


_____ Yes! I/We would like to attend at the following level:

$5000 $2500 $1000 $500 other_________


.

Name(s) of Attendee(s): _____ Unfortunately, I cannot attend but I would like to make a contribution in the amount of $

To contribute by PERSONAL check, please make your contribution payable to Debbie Wasserman Schultz for Congress. To contribute by PERSONAL credit card, please provide the information below: Please charge $ Name of Cardholder: Credit Card Number:__________________________________________________ Exp. Date:___________________________ to my personal, not corporate, credit card: Visa / Mastercard / AMEX / Discover

Please fax credit card contributions to (866) 765.2395 Attn: Courtney Whitney Please mail checks to: Debbie Wasserman Schultz for Congress, PO Box 1756, Hallandale, FL 33008. You may also contribute online with a credit card at www.dwsforcongress.com/contribute
Please sign below: I designate my contribution(s) to DWS for Congress, as follows, the first $2,500 for the 2012 primary, and any additional amount that I contribute up to $2,500 for the 2012 general election. I am making this contribution with my own personal funds and not with funds provided by any other person. Signature Required: Second Signature for Joint Accounts:

Contributions to DWS for Congress are subject to the prohibitions and limitations of the Federal Election Campaign Act. An individual may contribute a maximum amount of $2,500 per election, and the primary and general are separate elections. Contributions from corporations, labor organization treasury funds, foreign nationals, federal government contractors, and political action committees are prohibited. All contributions must be made from the contributors personal funds. Corporations and individuals are strictly prohibited from reimbursing another person for making a contribution to DWS for Congress. To comply with federal law, we must use our best efforts to obtain and report the name, mailing address, occupation and employer of all individuals whose contributions aggregate in excess of $200 per election cycle.
Contributor #1: Name: Occupation: Address: City: Home Phone: Mobile Phone: Contributor #2 (if applicable): Name: Occupation: Address: City: Home Phone: Mobile Phone: State: Work Phone: Fax: Zip: E-Mail: Employer: State: Work Phone: Fax: Zip: E-Mail: Employer:

Paid for and authorized by DWS for Congress