WALLY FLEWELLING SHEILA AND STEVE HARRINGTON BETH LINDSTROM AND RAY MURPHY JOHN MCCLELLAN AND LIZ

MARTINEAU KAREN AND DAVE RIGGERT

CORDIALLY INVITE YOU TO A RECEPTION WITH
_________________________________________________________

U.S. SENATOR SCOTT BROWN

_________________________________________________________

AT

THE HOME OF KAREN AND DAVE RIGGERT 71 WINTERGREEN LANE GROTON, MA

FRIDAY, AUGUST 24TH

6:45pm 7:30pm Champagne Reception
$500 - Includes Photo Opportunity

7:15pm 8:30pm General Reception

$250 Includes Signed Book $100 General Entry

______________________________________________________ RSVP to Christine Smail at Christine@ScottBrown.com

If contributing further will put you in excess of the $5,000 " Brown for US Senate Committee" cycle maximum (per individual from 1/ 20/ 10 to Election Day), please contact the campaign finance staff listed above for additional information on how you can attend this event and continue to support Senator Brown's election. Please call (857) 263-8346 if you have any questions about your contribution limits.

PAID FOR BY THE BROWN FOR U.S. SENATE COMMITTEE WWW.SCOTTBROWN.COM

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

SCOTT BROWN FOR US SENATE COMMITTEE DONOR FORM I will contribute the maximum individual amount of $5,000 for the 2012 election cycle by filling out the information below **(A single $5,000 check is split into $2,500 to the Primary Election account and $2,500 for the General Election account once deposited) I will contribute $_________ for the 2012 election cycle by filling out the information below. Political Action Committees (PACs) may contribute $10,000 for the 2012 election cycle **(A single $10,000 PAC check is split into $5,000 to the Primary Election account and $5,000 for the General Election account once deposited) NOTE: If you have already contributed $5,000 to the Brown Committee (or if contributing further will put you in excess of the $5,000 per cycle maximum), please contact the campaign staff for additional information on how you can further support Senator Brown.
Enclosed is my contribution of 00 (couple only) 5,000 00 Other________

Please complete the following: Name:________________________________________________Signature_____________________________________________ Address:__________________________________________________________________________________________________ City: _______________________________________ State:____________________Zip:__________________________________ Phone: Office Cell Home______________________________E-mail:____________________________________________

Occupation: (required)_____________________________________ Employer: (required)____________________________________

Joint Contributor (spouse) Information: (Joint Donations up to $10,000 per couple can be accepted on this form)

Name:__________________________________________________Signature___________________________________________ Phone: Office Cell Home______________________________E-mail:______________________________________________

Occupation: (required)_____________________________________ Employer:(required)_____________________________________

For a contribution from a joint account to be attributed equally to two individuals, both must sign this form, indicating agreement with the above statement.

Credit Card Contribution: Please charge my contribution of $________________ to my credit card. [ ] Visa [ ] Discover [ ] MasterCard [ ] AMEX Card Number_________________________________Exp.Date_________________________CVV________________________ Billing Address (if different than above):____________________________________________________________________________ Signature(s):______________________________________________________________________________________________
Please make checks payable to Scott Brown for US Senate Committee Mail to Brown for US Senate, 337 Summer Street, Suite 100, Boston MA 02210 Or please scan and email this form to: ddrummond@scottbrown.com

Fundraiser ID: Beth Lindstrom FUND17853

Event Code: M3252

[ ] Please check to confirm the following statements are true: (1) I am a United States citizen or an individual lawfully admitted with permanent residence status (e.g., a green card holder); (2) This contribution is made from my own personal funds and is not made from the general treasury funds of a corporation, labor organization, or national bank; (3) If I have paid by credit card, I also certify that this contribution is made on a personal credit or debit card for which I have the legal obligation to pay, and is not made on a corporate or business entity card; (4) I am not a federal government contractor; (5) I am at least 18 years old. Contributions to the Scott Brown for U.S. Senate Committee are not tax deductible as charitable contributions for federal income tax purposes. By federal law, the maximum amount an individual may contribute is $2,500 per election (the primary and general elections are separate elections) or a total amount of $5,000 per election cycle ($10,000 per couple). Political Action Committee (PACs) may contribute up to $5,000 per election ($10,000 max). Contributions from corporations, labor unions, foreign nationals and federal government contractors are prohibited.

Paid for by Scott Brown for U.S. Senate Committee, Inc. www.ScottBrown.com
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.