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Credit card #:________________________________ Exp date: _______ _Sec. code: _______ Name as it appears on card: ______________________________________________________ Billing address: ________________________________________________________________ Authorized signature: ___________________________________________________________ Amount of contribution: ________________________________________________________ No, I/we are unable to attend, but have enclosed $______, to support David Vitter for Senate.
Please send this form to: David Vitter for Senate c/o Lisa Spies 736 North Columbus Street, Alexandria, Virginia 22314 OR fax this form to 202-747-5777
Contributions or gifts to David Vitter for Senate are not deductible as charitable contributions for federal income tax purposes. Contributions to David Vitter for Senate will be used in connection with federal elections and are subject to the limitations and prohibitions of Federal law. Contributions may not exceed the federal limits of $2,500 for an individual, per election, or $5,000 for a federally registered multicandidate PAC, per election. Contributions by corporations, foreign nationals, federal government contractors, and labor unions are prohibited. Federal law requires us to use best efforts to obtain and report the name, address, occupation, and name of employer for each individual whose contributions aggregate in excess of $200 in an election cycle.