Party for Kerry! Sunday, June 13 at 7:00 pm
I am contributing $______________ to the Kerry campaign.
$50 (or more) per ticket to attend the Party! with Barney Frank, Jim McGovern,
the Rx Jazz band, and Jimmy Tingle.
$500 (or more) per ticket to attend the Party! and the private reception with
Congressmen Frank and McGovern
_____Please register me for the Party for Kerry!.
_____I am registering more than one person with this contribution.
Other registrant(s) name(s): ________________________________________
_____I cannot attend, but I wish to contribute.
Make check payable to: John Kerry for President, Inc.
If you have already contributed $2000 to John Kerry, you can purchase tickets for the Party! by making a contribution to either “Kerry Victory 2004” or the “Democratic National Committee.” Please contact us if you have any questions: (617) 795-1506 or email: firstname.lastname@example.org
Mail your check with this form to: Ann Peck Reisen/BBB
111 Perkins Street
Boston, MA 02130
I confirm that the following statements are true and accurate:
1) I am a United States citizen or a permanent resident alien.
2) I am making this contribution from my own funds, and not those of another.
3) I am not a federal contractor.
4) I am at least 18 years of age.
Federal Election law requires John Kerry for President, Inc. to report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $200 in a calendar year. Your contribution will be used in connection with Federal elections and is subject to the limits and prohibitions of the Federal Election Campaign Act.
Contributions or gifts to John Kerry for President Incorporated are not deductible for federal income tax purposes
All proceeds from the Party for Kerry! go to the John Kerry for President campaign. Beat Bush is a grassroots group and is entirely independent of the Kerry for President campaign, is not an agent of the Kerry for President campaign, and is not affiliated with it in any official capacity.