***Denver, CO * June 7, 2007***
Please make personal or PAC checks payable to “Bill Richardson for President, Inc.”
Contributions to Bill Richardson for President, Inc. are limited to $2,300 per individual ($4,600 per couple) and federal multi-candidate PACs may
contribute $5,000 per election. A husband and wife may contribute a maximum of $4,600 by one check drawn from a joint account and signed by
both individuals.
Contributions to Bill Richardson for President, Inc. are subject to the prohibitions and limitations of the Federal Election Campaign Act.
Contributions from corporations, national banks, federal contractors, and foreign nationals who are not admitted for permanent residence in the
United States are prohibited. All contributions must be made from personal funds and may not be reimbursed or paid by any other person. PAC
checks will be accepted.
Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and name of employer for individuals
whose contributions exceed $200 in an election cycle. If this is a contribution from a husband and wife by one check drawn from a joint account and
signed by both individuals, please provide the requested information below for both individuals.

Name: __________________________________________________________________________________ Amount________________

Name: __________________________________________________________________________________ Amount________________

Work Address: _____________________________________________________________________________________

City: _________________________________________ State: _________________ Zip Code: ______________________

Home Address: _____________________________________________________________________________________

City: _________________________________________ State: _________________ Zip Code: ______________________

Home Phone: ________________________________________Work Phone: ____________________________________

Fax: _________________________________________________ Cell Phone: ____________________________________

Email: _______________________________________________ Solicitor of contribution: _________________________

Occupation: ___________________________________________ Employer: ____________________________________________

If you prefer to pay by credit card, please complete the following:

Credit Card Type: _____ Visa _____ MasterCard _____American Express

Name on card: ____________________________________________________________________________

Billing Address (if different): ________________________________________________________________

Card Number: ______________________________________________________Exp. Date: __________ Amount: ___________________

By signing below, I am affirming that I am making this contribution on my own personal credit card and not with a corporate or business card or a
credit card issued to anyone else.

Contributor Signature: _______________________________________________________________

Contributions are not tax-deductible for Federal income tax purposes
Please make checks payable to:
Bill Richardson for President, Inc.
303 Massachusetts Avenue, NE, 3rd Floor
Washington, DC 20002
(202) 543-3182 (Work); (202) 543-8004 (Fax)
FOR INTERNAL USE
EC __0607Denver________________ SC _________________________ SC2_________________________MC _______________________

CN _________________ DR _________________Staff ___Kdey__ VS / AI / PB Notes ___________________________________________

Paid for by Bill Richardson for President, Inc.