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2016 Elephant Remembers

http://dcrponline.com/

Please join the

Douglas County Republican Party

for

2016 Elephant Remembers

Honoring

Governor Kay Orr

With Guest Speaker

Governor Mike Huckabee

Date: January 19, 2016

Time: RECEPTION: 5:30 P.M. – 6:30 P.M.

DINNER: 6:30 P.M.

Location: Ramada Plaza Hotel and Conference Center

3321 S. 72nd St.

Omaha, NE 68124

Appropriate recognition will be given to each level in the printed program. Make checks payable to Douglas County Republican Party.

Please R.S.V.P. for Sponsorships by January 14th to exec@dcrponline.com or call (402) 669-6731 or online at gopevent.com.

Contribution Amount

$2,500 - Platinum (Reserved Table with 10 dinner tickets special reception listing as sponsor)
$1,000 - Gold (Reserved Table with 10 dinner tickets listing as Gold sponsor)
$500 - Silver (Shared Table with 5 dinner tickets listing as Silver sponsor)
$250 - Bronze (Shared Table with 2 dinner tickets listing as Bronze sponsor)
$175 - Couple (2 dinner tickets)
$100 - Single (1 dinner ticket)

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:

I am a citizen of, or permanent resident in, the United States
The funds I am contributing are my own personal funds and not those of another person.
My contribution is not from the general treasury funds of a corporation, organization or national bank.
I am not a foreign national who lacks permanent resident status in the United States
I affirm that I am making this contribution via my personal credit or debit card for which I have a legal obligation to pay, and not through a corporate or business entity card or the card of another person.
I am at least 18 years of age.

Paid for by Douglas County Republican Party

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