Convention Host Committee

Cordially invites you to join us for an intimate lunch

with special guest

cx|wx U| V|
Thursday, June 14, 2012
12:00pm
At the Home of Cheryl & Haim Saban
Beverly Hills, California
(Address Available Upon RSVP)

Please contact Jordan Markwith with any questions or to RSVP

JMarkwith@clt2012.com or 310.498.8974

Paid for by New American City

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

Yes! I/we would like to attend the dinner on June 14:

$100,000 per couple: Photo + Pre-Reception + Lunch + Trustee Convention Package (Two Hotel Rooms + Four
Credentials) or Trustee Plus Convention Package (One Premier Uptown Hotel Room + Two Premier Credentials)
$50,000 per couple: Lunch + Dogwood Convention Package (Hotel Room + Two Credentials)
$25,000 per couple: Lunch + Tar Heel Convention Package (Two Credentials)
I am unable to attend, but would like to support the Committee for Charlotte 2012 by contributing: $___________
Name(s) of attendee(s): ____________________________________________________________________________
Yolanda "Cookie" Parker
I was invited to attend by: __________________________________________________________________________

Please make checks payable to:

Committee for Charlotte 2012

400 South Tryon St.
Ste. 500
Charlotte, NC 28202
Fax: (704) 330-5522

Total Amount: $________________

Click here to contribute online: www.Charlottein2012.com/June14Lunch
The Committee for Charlotte 2012 does not accept contributions from corporations, currently registered federal lobbyists,
registered foreign agents, political action committees, or minors under the age of 16.
The Committee for Charlotte 2012 is a Section 501(c)(3) organization.
Contributions to Committee for Charlotte 2012 are tax-deductible as charitable contributions to the extent permitted by law.
Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and employer of individuals
whose contributions exceed $200 in an election cycle.

First & Last Name: ________________________________________________________________________________________

Address: ____________________________________________________________________________________________ ____
City/State/Zip: ____________________________________________________________________________________________
Employer: _______________________________________ Occupation: _____________________________________________
Work Phone: ____________________________________ Work Fax: _______________________________________________
Home Phone: ____________________________________ Email: __________________________________________________
I certify that I am a U.S. citizen or legal permanent resident of the U.S.

Signature: ________________________________________________________________________________
2nd Signature, if Contributing from Joint Account*: ____________________________________________
Contribute by Personal Check:
Please make checks payable to Committee for Charlotte 2012 and mail to the address listed above.
Contribute by Credit Card:
Please Bill my Personal Credit Card:

Visa

MasterCard

AMEX

Discover

Card Number: ____________________________________________________________________Exp: __________________

Name as it Appears on the Card: ____________________________________________________________________________
Signature: _______________________ _________________________________________________________ ______________
Second Name on Account, if Joint Account*: _________________________________________________________________
*Contributions will be evenly attributed between names.
2nd Name Employer: _________________________ 2nd Name Occupation: _____ ________________________________
Second Signature for Joint Account: ___________________________________________________________
For questions, please contact Jordan Markwith at jmarkwith@clt2012.com or 310.498.8974

Paid for by New American City

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