Greg Farmer

invites you to a meet-and-greet with

Heidi Heitkamp U.S. Senate Candidate (ND)

Thursday, April 26, 2012 3:00 p.m. Qualcomm, Inc. 1730 Pennsylvania Avenue, NW Suite 850 Washington, DC For more information or to RSVP, contact Michael Connet at mconnet@eInnovations-llc.com
Contributions to Heidi for North Dakota are not tax deductible for federal income tax purposes. Federal law requires us to collect and report the name, mailing address, occupation and name of employer of individuals whose contributions exceed $200 in a calendar year. Contributions by corporations and foreign nationals are prohibited.

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

Please make checks payable to

Heidi For Senate

and mail this form and your payment to: PO Box 1577 Bismarck, ND 58502-1577
If you prefer to pay by personal credit card, please provide the following information: Visa American Express MasterCard Discover

Contribution Amount: $_________ Card No.: ___________________________________ Exp Date: ________ Security Code (3 or 4 digit) _____ Name on Card: ____________________ Signature: ___________________ Contributions are limited to $2,500 per individual and $5,000 per couple per election. The primary and general elections are separate elections, so individuals may give a total of $5,000 for both elections, while couples may give a total of $10,000.

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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 an election cycle Name: _______________________________________________________________ Street Address: ______________________________________________________ City/State/Zip: _______________________________________________________ Occupation: __________________________ Employer: _____________________ Home Phone: ________________________ Work Phone: ____________________ Fax: ___________________________ Email: _______________________________ By making this contribution you agree to the following:
I affirm that I am making this contribution with my own personal funds, and I am not using funds provided by any other person. I agree that the initial $2,500 of my contribution is designated for the primary and any additional amount up to $2,500 is designated for the general election campaign, up to a total of $5,000 for both elections. (For credit card contributors only): I am affirming that I am making this contribution on my own personal credit card and not with a corporate or business card or a credit card issued to or paid by anyone else

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