Please join

Honeywell International PAC

For a roundtable lunch with

Senator Richard Blumenthal

Wednesday, January 28, 2015
12:00 1:30 PM
Honeywell
101 Constitution Avenue, NW
Suite 500 West
Washington, DC 20001
Suggested Contribution:
Chair $5,000
Sponsor $2,500
PAC Guest $1,000
Guest $500
To RSVP please contact Mary Tabaie at
mary@richardblumenthal.com or (202) 870-9137
Contributions or gifts to Blumenthal for Connecticut are not tax deductible.
Paid for and authorized by Blumenthal for Connecticut

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

Blumenthal for Connecticut Lunch

Wednesday, January 28, 2015
Yes, I/we will attend. Please find, enclosed, a contribution of $ ______ to
Blumenthal for Connecticut.
No, I am unable to attend, but enclosed is my contribution of $ _____ to
Blumenthal for Connecticut.
Contributions are limited to $5,200 per individual ($2,600 for the primary election and $2,600 for the general election) and federal
multi-candidate PACs may contribute $10,000 ($5,000 for the primary election and $5,000 for the general election).

Please make your personal check payable to Blumenthal for Connecticut

& send it along with this completed form to:
Blumenthal for Connecticut
777 Summer Street, Suite 302
Stamford, CT 06901-1022
Phone: (202) 870-9137
Fax: (203) 353-3392
Please charge my personal credit card:
______Visa

______MC

______AMEX

Credit Card Number_________________________________________ Exp. _______________________

Cardholders name (as it appears on card)___________________________________________________
Cardholders signature______________________________________ Security Code:________________
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 an election cycle.

Name_____________________________________Address______________________________________
City/State/Zip__________________________________________________________________________
Employer______________________________________Occupation_______________________________
Home Phone__________________________________Office Phone_______________________________
Email_________________________________________Fax Phone________________________________
Contributions or gifts to Blumenthal for Connecticut are not tax deductible. Contributions from corporations, foreign nationals and
federal government contractors are prohibited. Persons are prohibited from making contributions in the name of another person.
01.28.15HL

Paid for and authorized by Blumenthal for Connecticut

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.