9/9/14 HRC Dinner

The Democratic Senatorial Campaign Committee’s
Women’s Senate Network
Invites you to join special guest

HILLARY RODHAM CLINTON

With
SENATOR TAMMY BALDWIN
Chair, Women’s Senate Network

&

SENATOR MICHAEL BENNET
Chair, Democratic Senatorial Campaign Committee

Tuesday, September 9, 2014
5:30 PM Reception and Dinner

The home of:
Hillary Rodham Clinton
Washington, DC
Address Provided Upon RSVP

Suggested Contributions:
WSN Chair: $32,400 per couple
Ticket to reception, dinner (priority seating) and photo

WSN Vice-Chair: $10,000 per person
Ticket to reception, dinner and photo

*Space is limited*

For further information or to RSVP, please contact
Addy Rummel at [email protected] | (202) 478-1314
Paid for by the Democratic Senatorial Campaign Committee, www.dscc.org, and not
authorized by any candidate or candidate’s committee.

Tuesday, September 9, 2014 | Washington, DC

□ I would like to attend the DSCC event as a WSN Chair with a contribution of $32,400 per couple.
□ I would like to attend the DSCC event as a WSN Vice- Chair with a contribution of $10,000 per person.
□ I am unable to attend the DSCC event, but would like to support the DSCC with a contribution of
$___________.

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To contribute by personal credit card via our secure website, please contribute online at:
https://www.dscc.org/-/dcseptember9
Please make checks payable to “DSCC” and mail with this completed form to:
The Democratic Senatorial Campaign Committee c/o Addy Rummel
120 Maryland Avenue, NE | Washington, D.C. 20002
Or fax this completed form to 202-314-3231

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Federal law requires us to use our best efforts to collect and report the name, mailing address,
occupation, and name of employer for individuals whose contributions exceed $200 in a calendar year.

Name ________________________________________________________________________
Address _______________________________________________________________________
City/State/Zip _________________________________________________________________
Occupation _____________________________Employer _______________________________
Work phone ___________________________ Home Phone _________________________
Fax ____________________________________ E-mail ___________________________
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Visa American Express MasterCard
Number _____________________________________________________________________
Expiration Date _______________________ Name on Card ____________________
Signature _____________________________________________________________________
I attest that I am a United States citizen or legal permanent resident. This contribution is made from my
personal funds and not from the funds of a corporation, labor union, national bank, or federal contractor, or
from funds provided by any other person, which is prohibited by law.
An individual can contribute as much as $32,400 per calendar year to the DSCC's general fund for use in the
DSCC's sole discretion. A couple can contribute as much as $64,800 per calendar year to the DSCC's general
fund. All amounts in excess of this (up to another $32,400) will be for the DSCC’s recount fund and will be
used to pay expenses in connection with election recounts and contests. Donations to the recount fund will not
be used for the purpose of influencing a federal election.
A contribution of $32,400 enrolls an individual as a DSCC “Majority Trust” member and, along with other
benefits, allows for attendance at the DSCC’s signature retreats.
Contributions or gifts to the DSCC are not tax deductible.

Paid for by the Democratic Senatorial Campaign Committee, www.dscc.org, and not
authorized by any candidate or candidate’s committee.