Please Save the Date to Join the

DCCC LGBT Equality Council

Hon. Jared Polis, Chair
&

House Democratic Leader

Nancy Pelosi
for a

Cocktail Reception
in support of the

Democratic Congressional Campaign Committee

Monday, October 5th, 2015
7:00 p.m. ~ VIP Reception / 8:00 p.m. General Reception

The Home of Tim Gunn

*Address provided upon RSVP

New York City

Speakers Cabinet ~ $33,400 per couple VIP Reception & Cocktail Reception
Sponsor ~ $10,000 per person write/raise VIP Reception & Cocktail Reception
Host ~ $5,000 per person write/raise VIP Reception & Cocktail Reception
Friend ~ $1,000 per person Cocktail Reception
Supporter ~ $500 per person Cocktail Reception
Attendee ~ $250 per person Cocktail Reception
To RSVP, please contact Jenn Liu at (202) 741-1846 or Liu@dccc.org
OR Jackie Brot Weinberg at (917) 699-1462 or Jackie@jbwconsultingllc.com
or visit https://action.dccc.org/nyclgbtreception
Paid for by the Democratic Congressional Campaign Committee.
430 South Capitol Street, SE Washington, DC 20003 (202) 863-1500 www.dccc.org
Not authorized by any candidate or candidates committee.
Contributions or gifts to the Democratic Congressional Campaign Committee are not tax deductible.
Contributions from foreign nationals and corporations are not permitted.

New York City LGBT Equality Council - October 5th, 2015

Yes! I would like to support the DCCC and attend the event as a:
Speakers Cabinet - $33,400 per couple
Sponsor - $10,000 per person
Host - $5,000 per person
Friend - $1,000 per person
Supporter - $500 per person
Attendee - $250 per person
I cannot attend the event but enclosed is my contribution of $___________.
An individual can contribute as much as $33,400 per calendar year to the DCCC's general fund for use at the DCCC's sole discretion.
All amounts in excess of this, up to the legal limits, will be for the DCCCs building account or recount fund.

Name _____________________________________________________________________
Billing Address_______________________________________________________________
City/State/Zip ______________________________________________________________
Home Phone ___________________Business Phone _________________________________
Email _____________________________________________________________________
Employer _______________________ Occupation __________________________________
Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name
of employer of individuals whose contributions exceed $200 in a calendar year.
To contribute online, visit: https://action.dccc.org/nyclgbtreception
Please make checks payable to the DCCC and mail to:
Democratic Congressional Campaign Committee
attn.: Jenn Liu
430 South Capitol Street SE, Second Floor
Washington, DC 20003
Please charge my personal credit card $________________________.
Card Number ________________________________ Exp. Date _______________________
Name as it appears on card ______________________________________________________
CC Billing Address (if different from above) __________________________________________
City/ State/ Zip _____________________________Signature __________________________
I attest that I am a United States citizen or legal permanent resident of the United States. This contribution is drawn from
personal funds not from the funds of a corporation, labor organization, national bank or federal contractor, which are
prohibited by law.
Paid for by the Democratic Congressional Campaign Committee.
430 South Capitol Street, SE Washington, DC 20003 (202) 863-1500 www.dccc.org
Not authorized by any candidate or candidates committee.

Contributions or gifts to the Democratic Congressional Campaign Committee are not tax deductible. Contributions from
foreign nationals and corporations are not permitted.