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You are Cordially Invited to Attend Lunch Honoring

SCOTT BROWN
Republican Candidate for U.S. Senate from New Hampshire
Former U.S. Senator from Massachusetts

Honorary Co-Chairmen

U.S. Senator Lamar Alexander*


U.S. Senator Bob Corker*

Friday, August 29, 2014
11:30a.m. 1:00p.m.

Etch Restaurant

303 Demonbreun Street


Nashville, Tennessee

Chair: $10,400 per couple/$5,200 per individual


Co-Chair: $2,600
Sponsor: $1,000
For more information or to RSVP, please contact Rachel Barrett
Phone: (615) 969-0696 | Fax: (615) 564-2658
Email: Rachel@RachelBarrettCo.com
*Due to scheduling conflicts, Senators Alexander and Corker will be unable to attend



Lunch Honoring Scott Brown


Friday, August 29, 2014
11:30a.m. - 1:00p.m.
Etch Restaurant
303 Demonbreun | Nashville, Tennessee

I will attend the lunch.


Attendee name(s): ______________________ ________________________
I am unable to attend the lunch.

Enclosed please find my contribution of:
Chair: $10,400 per couple/ $5,200 per individual 4 Tickets to Lunch.
Co-Chair: $2,600 2 Tickets to Lunch.
Sponsor: $1,000 2 Tickets to Lunch.

Other $ _______.

ALL CONTRIBUTORS PLEASE READ AND COMPLETE:


Contributions are not tax deductible for federal purposes. Federal law requires us to report the name, address, occupation, and name
of employer of each contributor whose contributions exceed $200 in an election cycle. Individuals may contribute a maximum of $5,200
($2,600 for the primary election and $2,600 for the general election). Multi candidate PACs may give a maximum of $5,000 for the
primary election and $5,000 for the general election. Contributions from corporations, foreign nationals, and federal government
contractors are prohibited. Not printed at government expense.

_______________________________________________________________________________________________
Full Name
Spouse Name (if joint contribution)
_______________________________________________________________________________________________
Address
City
State
Zip Code
_______________________________________________________________________________________________
Home Phone
Work Phone
_______________________________________________________________________________________________
Facsimile
E-Mail
_______________________________________________________________________________________________
Employer, Occupation
6SRXVHV(PSOR\HU, Occupation (if joint contribution)
Please make checks payable to:

New Hampshire for Scott Brown Committee


5310 Harvest Hill Road, Suite 209
Dallas, Texas 75230-5805

Credit Card Contributions: This contribution to New Hampshire for Scott Brown Committee is drawn on my personal
credit card, represents my personal funds, and is not drawn on an account maintained by an incorporated entity.

To make your personal payment by credit card, please complete the following information:
Visa

MasterCard

American Express

Discover

Amount of Contribution: $_______________ Cardholder Name (print): _______________________________________


Card Number ______________________________________ Exp. Date _____________ Billing Zip _______________
Signature of Contributor: ___________________________________________________________________________
Signature of Second Contributor (if joint contribution): ____________________________________________________
For more information or to RSVP, contact Rachel Barrett at 615-969-0696 or Rachel@RachelBarrettCo.com.
Replies and credit card contributions may be faxed to 615-564-2658.

Source code: NATN001


Paid for by the New Hampshire for Scott Brown Committee 

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