Cantor Birthday Bash RSVP Form

Cre Run Reception

Culpeper, VA

Locust Grove, VA

Yes, I will attend Congressman Cantor's Birthday Party!

1,000 Host - 4 tickets to Private Reception & Birthday Party

$500 Patron - 2 tickets to Private Reception & Birthday Party

$250 Friend - 1 ticket to Private Reception & Birthday Party

$75 Family, Birthday Party

$35 Individual, Birthday Party

I cannot attend, but wish to make a contribution in the amount
of $ .

First Name:

Last Name:

Address1:

Address2:

City:

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Employer:

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E-Mail Address:

Confirm E-Mail Address:

Comments (Names of additional attendees):

Please sign me up for the "Cantor Advisory Council" emails.

Federal election law requires political committees to use best efforts to report the name, mailing address, occupation, and name of employer of individuals whose contributions exceed $200 during an election cycle. An individual may not contribute more than a total of $2300 per election to the committee. Federal law prohibits contributions to the committee from the general treasury funds of a corporation, labor organizations or national banks (including corporate or other business entity credit cards), from any person contributing another's funds, from a Federal government contractor, or from a foreign national who lacks permanent resident status. Contributions are not deductible for Federal income tax purposes.

Cantor Birthday Bash RSVP Form