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JOIN FIRST LADY MICHELLE OBAMA

Kathy Brown along with Carol & Tom Wheeler Invite you to join First Lady Michelle Obama in DC

*First Name

*Last Name

*Address

What:
Obama Victory Fund 2012 - Lunch with the First Lady *City *State *Email Address *Phone Number *Zip

Where:
Mayflower Hotel 1127 Connecticut Avenue, NW Washington, DC

Tickets
x $5,000.00 Event Host
Includes Photo Reception and Priority Seating at the Luncheon for one

When:
Tuesday, February 21, 2012 11:30 AM

x $20,000.00 Event Chair


Includes Event Chair Greet, Photo Reception and Premium Seating for two at the Luncheon

Please submit Full Name, DOB and Social Security Number for all guests by February 16th
Click here to submit your security information or andrew.smith@barackobama.com To attend, please RSVP using the form to the right.

x $20,100.00 Event Chair + 1


Includes Event Chair Greet, Photo Reception and Premium Seating for two at the Luncheon + one Additional Luncheon Seat

x $20,200.00 Event Chair + 2


Includes Event Chair Greet, Photo Reception and Premium Seating for two at the Luncheon + two Additional Luncheon Seats

x $20,300.00 Event Chair + 3


Includes Event Chair Greet, Photo Reception and Premium Seating for two at the Luncheon + three Additional Luncheon Seats

I Cannot Attend, But Please Accept My Contribution Of: $ 0 items , $0.00

Credit Card

*Card Number *Expiration Month Year

Employment
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. *Employer *Occupation

Legal Compliance
Check this box to confirm that the following statements are true and accurate:
1. I am a United States citizen or a lawfully admitted permanent resident of the United States. 2. This contribution is not made from the general treasury funds of a corporation, labor organization or national bank. 3. This contribution is not made from the treasury of an entity or person who is a federal contractor. 4. This contribution is not made from the funds of a political action committee. 5. This contribution is not made from the funds of an individual registered as a federal lobbyist or a foreign agent, or an entity that is a federally registered lobbying firm or foreign agent. 6. I am not a minor under the age of 16. 7. The funds I am donating are not being provided to me by another person or entity for the purpose of making this contribution.

Additional Information
Guest Name(S)

Who Encouraged You To Make This Contribution?

Contributions or gifts to Obama Victory Fund 2012 are not tax deductible. The first $5,000 of a contribution to OVF 2012 will be allocated to Obama for America (with the first $2,500 designated for the primary election, and the next $2,500 for the general). The next $30,800 of a contribution will be allocated to the Democratic National Committee. A contributor may designate a contribution for a particular participant. This allocation formula may change if following it would result in an excessive contribution.

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PAID FOR BY OBAMA VICTORY FUND 2012, A JOINT FUNDRAISING COMMITTEE AUTHORIZED BY OBAMA FOR AMERICA, THE DEMOCRATIC NATIONAL COMMITTEE, AND THE STATE DEMOCRATIC PARTIES IN THE FOLLOWING STATES: Foundation MI, NV, NH, invitations from anonymous Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight CO, FL, IA, collects theseNC, OH, PA, VA, AND WI. lobbyist sources.

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