Professional Documents
Culture Documents
*COMMITTEE IN FORMATION
JEB BUSH
WEDNESDAY, DECEMBER 2, 2015
6:00 PM
MINNEAPOLIS CLUB
729 2ND AVENUE SOUTH
MINNEAPOLIS, MINNESOTA
$10,800 CO-CHAIR GIVE & RAISE
HOST COMMITTEE RECEPTION, PHOTO & EVENING RECEPTION
$2,700 CO-HOST GIVE
HOST COMMITTEE RECEPTION, PHOTO & EVENING RECEPTION
$1,000 SUPPORTER GIVE
PHOTO & EVENING RECEPTION
$500 GUEST GIVE
EVENING RECEPTION
F O R M O R E IN F O R M A TIO N , P L E A S E C O N TA C T E M M A N E L S O N A T
E N E L S O N @ J E B 2 0 1 6 .C O M O R 8 1 6 -5 5 0 -0 8 0 1
XXXXXXXXXXXXXXXXXXXXXXXXXX
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!
REPLY INFO:
! Yes, I /we will serve as a co-chair for the Minneapolis Reception and raise $10,800 for the event.
! Yes, I /we will attend the Minneapolis Reception. Enclosed is my contribution of $_________________ ($2,700 per person /
$5,400 per couple)
! Yes, I /we will attend the Minneapolis Reception. Enclosed is my contribution of $1,000 for the event.
! Yes, I /we will attend the Minneapolis Reception. Enclosed is my contribution of $500 for the event.
! No, I am unable to attend, but enclosed is my contribution of $___________________.
Step 1: Enter contributor information:
Prefix:
Last Name:
Address:
City:
Email:
First Name:
Informal Salutation:
Business Phone:
Home Phone:
State:
Cell Phone:
Zip:
Occupation:
(Required) Employer:
(Required)
This contribution is made by check or credit card from my personal funds and is not drawn on an account
maintained by an incorporated entity. I am a U.S. citizen or permanent resident and this contribution will not be
reimbursed by another person.
Signature:_______________________________________________________
Step 2: Enter joint contributor information (if applicable):
If your contribution is drawn on a joint account, please consider making a joint contribution.
Prefix:
Last Name:
First Name:
Informal Salutation:
Email:
Cell Phone:
Business Phone:
Home Phone:
Occupation:
(Required) Employer:
(Required)
Joint contributions require the signatures of both contributors. Please sign below indicating agreement with the above
statement.
Signature:_______________________________________________________
Step 3: Contribution:
o Check Please make checks payable to: Jeb 2016, Inc.
Or
Credit Card (check one): o Visa
o MasterCard
o American Express
o Discover
Billing Zip:_________________