Professional Documents
Culture Documents
2010 SRD Fact Sheet
2010 SRD Fact Sheet
___ Yes, I would like to purchase a Sponsor Table for the Sponsors’ Reception and dinner program for a
contribution of $2,500. Sponsor Listing ___________________________________________________
___ Yes, I would like to be a Sponsor for the Sponsors’ Reception and dinner program for a contribution of $250.
____ seat/s @ $250= $_______. Sponsor Listing _______________________________________________
___ Yes, I would like to reserve a Tribute Table for the dinner program for a contribution of $1,250.
Sponsor Listing ___________________________________________________
___ Yes, I would like to reserve a table of 10 for the dinner program for a contribution of $900.
Sponsor Listing ___________________________________________________
___ Yes, I would like to reserve a dinner seat for a contribution of $95. ____ seat/s @ $90= $_______.
___ No, I do not wish to reserve a table or seat but I would like to donate to the event. $ _______.00.
Contact Person: ____________________________________________Organization: _____________________________________________________
E-mail:__________________________________________________________ Phone 1: ______________________ Phone 2: ______________________
Address: ________________________________________________________ City, State, Zip: ______________________________________________
Make checks payable to: The Nebraska Republican Party ~ 1610 ‘N’ Street ~ Lincoln, NE 68508. Contributions are not
deductible for Federal Income Tax purposes. Contributions by foreign nationals are prohibited.
If Paying by credit card, please indicate _____ Visa _____ MasterCard Exp. Date ____/____ Sec. code:_____ Amt. $________.00
Paid for by the Nebraska Republican Party. Not authorized by any candidate or candidate’s committee.
1610 N Street, Lincoln, NE 68508 * www.negop.org * 402-475-2122