CALIFORNIA VOTE 2010

FIRST LADY MICHELLE OBAMA, DR. JILL BIDEN AND SENATOR BARBARA BOXER
WITH A PERFORMANCE FEATURING KENNETH “BABYFACE” EDMONDS

TUESDAY, OCTOBER 26TH - WILSHIRE EBELL THEATER, LOS ANGELES

Premium Seating: $500 General Admission: $250
Generation 44: $100 Young Professional: $50 (limited availability)

Federal law requires us to use our best efforts to collect and report the name, mailing address,
occupation and employer of individuals whose contributions in the aggregate exceed $200 in an
election cycle. Please provide all the information requested below:

Name________________________________________________________________________

Employer_____________________________________________________________________

Occupation___________________________________________________________________

Address______________________________________________________________________

City, ST Zip___________________________________________________________________

Phone_____________________________________ Fax_______________________________

Email_______________________________________________________________________

For more information please contact David Wolf at david@davidawolf.com

PLEASE FAX THIS FORM TO (310) 230-4307

ALL FAXES MUST BE RECEIVED BY NOON ON TUESDAY OCTOBER 26, 2010

Please bill $____________________to my: _____Visa ____Mastercard ______ American Express

Account #_______________________________________________________ Exp._______________________

Signature___________________________________________________________________________________

This personal, not corporate, card belongs to:

____________________________________________________________
Contributions or gifts to California Vote 2010 are not tax deductible.
The maximum contribution to California Vote 2010 from a person is $32,800, with the first $2,400 of each contribution to be allocated to be the
Friends of Barbara Boxer Committee and any additional amount up to $30,400 to be allocated to the Democratic National Committee. Any
contributor may designate his or her contribution for a particular participant. The allocation formula above may change if any contributor makes a
contribution that, when allocated, would exceed the amount that the contributor may lawfully give to any participant.
To comply with federal law, we must use our best efforts to obtain, maintain, and submit the name, mailing address, occupation and name of
employer for individuals who contributions exceed $200 per election cycle.

Contributions to California Vote 2010 will be allocated as follows: The first $2,400 of each contribution from a person will be allocated to the
Friends of Barbara Boxer Committee. Any amount beyond the first $2,400 will be allocated to the Democratic National Committee. Any
contributor may designate his or her contribution for a particular participant, The allocation formula above may change if any contributor makes a
contribution that, when allocated, would exceed the amount that the contributor may lawfully give to any participant.
Contributions or gifts to California Vote 2010 are not tax deductible.

Paid For By California Vote 2010 A Joint Fundraising Committee Authorized By The Democratic National Committee
And The Friends Of Barbara Boxer Committee.