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RSVP for the Richard Mourdock and Mike Pence Special Event

Wednesday, August 22nd

The Columbia Club - 3rd Floor Terrace
121 Monument Circle, Indianapolis, Indiana
Doors open at 5:30pm
Private Host Reception begins at 5:00pm (10th floor)

Questions? Contact Abby Perdew at (317) 248-2012 or Abby@RichardMourdock.com.

Contribution Amount

$250 - Individual Attendee
$500 - Couple
$1,000 - Sponsor
$2,500 - Co-Host
$

Payment Information

Debit/Credit Card

Billing Information

Same as home address.
Billing Address
Billing Address (line 2)
City
State
Zip/Postal

Legal Compliance

I affirm that the following statements are true and accurate:

1. This contribution is made from my own funds and not those of another.
2. This contribution is not made from the general treasury funds of a corporation, labor organization or national bank.
3. I am not a Federal government contractor.
4. I am not a foreign national who lacks permanent resident status in the United States.
5. I am at least 18 years of age.
6. This contribution is made on a personal credit or debit card for which I have the legal obligation to pay and is made neither on a corporate or business entity card nor on the card of another.
7. By donating you agree to receive emails from Richard Mourdock for Senate. You can opt-out at anytime.

To send a check by mail, address it to Hoosiers for Mourdock PO Box 1583 Indianapolis, IN 46206

Contributions are not tax deductible for federal income tax purposes. Individuals may contribute a maximum of $5,000 - $2,500 for the Primary election and $2,500 for the General election. Multi-candidate PACs may give a maximum of $10,000 - $5,000 for the Primary election and $5,000 for the General election.

All contributions are subject to limitations and regulations set by the Federal Election Commission.

Paid for by Hoosiers for Richard Mourdock, Inc

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