Carneys Point Republican Club
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:
Community FoodBank of New Jersey
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.
Daytop Village Inc.
Daytop is a not-for-profit adolescent substance abuse treatment and education center.
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