Carneys Point Republican Club  

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Chris Christie Candidate
 

Inaugural Celebration Reception

Honoring

Governor-elect and Mrs. Chris Christie

Lt. Governor-Elect Kim Guadagno

Date: Tuesday, January 19, 2010

Time: 6:00 pm – 10:00 pm

Location: Prudential Center

165 Mulberry Street

Newark, NJ 07102

Cost: $500 per person or company

Space is limited. Reservations are confirmed as contributions are received – You must RSVP by 1/9/10

Contribution instructions: Proceeds will benefit Inaugural 2010, Inc. New Jersey election law limits individuals and companies to one contribution of $500 per person or company for the Inaugural Celebration Reception. (Certain regulated industries such as casinos, financial institutions, insurance company, utilities, etc. are prohibited from contributing.) No cash is accepted and contributions to Inaugural 2010, Inc. are NOT deductible for federal income tax purposes.

Please check one of the following:

_____ Yes, I will attend the Inaugural Celebration Reception. Enclosed is my check or credit card payment in the amount of $500.

_____ No, I cannot attend but please accept my contribution of to support the activities of Inaugural 2010, Inc.

Make checks payable to “Inaugural 2010, Inc.” (See reverse side for credit card payment information.)

Pay-to-Play restrictions: Although contributions to Inaugural 2010, Inc. are not affected by the pay-to-play statutes, NJSA 19:44A-20.23, et seq., or by applicable Executive Orders, Inaugural 2010, Inc. has chosen to restrict vendors doing or seeking to do business with the State of New Jersey in an amount which exceeds $17,500, as well as certain individuals associated with those vendors, from contributing in excess of $300 to Inaugural 2010, Inc.

Please check one of the following:

_____ Yes, I will attend the Inaugural Celebration Reception.

_____ No, I cannot attend but please accept my contribution to support the activities of Inaugural 2010, Inc.

Enclosed is my check or payment for $300. In addition, I am voluntarily enclosing a check in the amount of $200 made payable directly to any of the following charities:

  1. Community FoodBank of New Jersey

www.njfoodbank.org

Help the Community FoodBank Of New Jersey and its Associated Food Banks statewide. 100% of your donation helps New Jersey Food Banks provide food for the hungry.

  1. Daytop Village Inc.

www.daytopnj.org

Daytop is a not-for-profit adolescent substance abuse treatment and education center.

  1. NJ State Family Readiness Council

New Jersey National Guard Family Programs

www.nj.gov/military/familysupport

The FRC is our first line of support for the Soldiers, their families and friends.

SALEM

INFORMATION FOR PARTNERSHIPS OR LLCs:

A partnership or limited liability company may not contribute as an entity. However, a check from a partnership or limited liability company may be accepted so long as it is accompanied by a letter allocating the contribution to the individual partner(s) or member(s) and is signed by each contributing partner or member. The letter must include each contributing partner’s or member’s home address.

Additional important information on the next page

Required information for each contributor:

Name:________________________________________________________________

Address:_______________________________________________________________

City: ___________________________State: ______ Zip Code: __________________

Telephone: _____________________ Email: _________________________________

Occupation (Required): __________________________________________________

Employer (Required):_____________________________________________________

Employer’s Address (Required): ____________________________________________

If contributing by joint checking account, please provide the following information:

________________________________ ________________________________

Your Signature Spouse’s Signature

Spouse’s Occupation (Required): ______________________________________________________________

Spouse’s Employer (Required): _______________________________________________________________

Employer’s Address (Required): _______________________________________________________________

Please make checks payable to: Inaugural 2010 Inc.

And mail to: 10 DeHart Street, 3rd Floor

Morristown, NJ 07960

CREDIT CARD PAYMENT – FOR INAUGURAL CELEBRATION RECEPTION TICKETS ONLY - all information is required:

_________________________________________ _________________________________________ _________________

Name on card Card Number Exp. Date

_____________ ______________________________________________________________________________________

Security Code Address that credit card statement is mailed

_________________ $______________________ _________________________________________________________

Credit Card Type Amount to be Charged SIGNATURE is required

Information: Maria Chappa or Robin Visconi at 973-644-9090

10 DeHart Street, 3rd floor, Morristown, New Jersey 07960

Office: 973-644-9090 Fax: 973-644-9111

Paid for by Inaugural 2010 Inc.

Ron Gravino, Treasurer

SALEM

www.njinaugural2010.com