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Join Dan Winslow On January 31

Jeff Palumbo, Chair & Host Committee Members
Ed Goddard, John O'Neill, Holly Wheeler, Senator Richard Ross, Jim Lehan, Bob DiPoli,
Ned Merrick, Greg Mirliss, Ron Groves, Sandy DiBacco, Patricia St. Aubin, Paul Maher
(Committee in formation)

Invite You to an Evening of Cocktails & Conversation
to Raise Campaign Funds for State Representative Dan Winslow

Thursday, January 31, 2013, 6 to 8 p.m.
The Terrace Cafe, 36 South Street, Wrentham Center
featuring live acoustic music by the Bill McGoldrick Duo with Pam Stiebler
Good Food & Drink and Great People

Suggested Donation: $25~50~100 by personal check payable to "Dan Winslow Committee" at door
or in the form below.

Bring your friends!

Contribution Amount

$25
$50
$100
$250

$500
$

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:

An individual may contribute a maximum amount of $2,600 to retire the campaign debt of a federal candidate, less any contribution already made to that candidate during the primary election. For example, a donor who contributed $1,000 during the primary can contribute an additional $1,600 for debt retirement for a total of $2,600. A donor who contributed $0 during the primary can contribute up to $2,600 for debt retirement. Contributions from corporations, labor organization treasury funds, foreign nationals, and federal government contractors are prohibited. Corporations and individuals are strictly prohibited from reimbursing another person for making a contribution to Dan Winslow for US Senate

Contributions are not tax deductible for federal income tax purposes.

Notice to Governmental Employees & Request Not to Forward Fundraising Solicitations to Governmental Employees The Dan Winslow for US Senate Committee does not intend any fundraising solicitation to be opened on publicly- owned computers or in buildings occupied for state, county or municipal purposes. If a fundraising solicitation is inadvertently sent to a governmental email address, any public employees or elected officials who receive the message at that address should take no action in response to the solicitation other than to reply to us to advise that they should be removed from the list. The Committee requests that any recipient of a fundraising solicitation not forward, disseminate, distribute or otherwise copy that email to a governmental email address. Emails that discuss issues, policies, etc., but do not solicit funds are not subject to these rules.

By clicking this button, I certify that I am at least 18 years old and am making this contribution on a personal credit or debit card with my own personal funds - not those of another person or entity - and that I meet the eligibility requirements set forth below:

I am not a foreign national.
I am not a federal contractor.

Paid for by the Dan Winslow for US Senate Committee

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