EFTA02706032.pdf

Mort Zuckerman cordially invitesyou to his New York home for a private reception honoring Senator Max Baucus Sunday, December 2nd, 2012 6:30 pm — 7:30 pm General Reception Host Reception Details Available Upon RSVP The Home of Mort Zuckerman 950 Fifth Avenue (Entrance on 76th Street) New York, NY Host $10,000 Friend $2,500 Attend $1,000 Please make checks payable to: Friends of Max Baucus 122 C Street NW, Suite 240 Washington, DC 20001 For more information or to RSVP, contact Maura Hagerty at 202-775-9100 or [email protected] Paid for by Friends of Max Baucus Contributions or gifts to Friends of Max Baucus arc not tax deductible. EFTA_R1_02098220 EFTA02706032  Friends of Max Baucus Contribution — 12/2/12 Reception FEC #: C00328211 I/We will attend as a HOST and write/raise $10,000. I/We will attend as a CO-HOST and write/raise $5,000. I/We will attend and contribute $ I cannot attend but would like to contribute $ * An individual may contribute a maximum amount of $5,000 ($2,500 for both the primary and the general) to a federal candidate. *Contributions may also be made online at WV. w_maxformontana.com. Federal Law Requires Us To Use Our Best Efforts To Collect And Report The Name, Mailing Address, Occupation, And Employer For Each Individual Whose Aggregate Contributions Are In Excess Of $200 In An Election Cycle. Contributions From Corporations, Labor Unions, Federal Contractors, National Banks and other Federally Prohibited Sources Are Not Permitted. Name Address City/State/Zip Employer Occupation Phone Fax Email Please make checks payable to: Friends of Max Baucus 122 C Street NW, Suite 240, Washington, DC 20001 Or you can fax a credit card contribution to (202) 347-6140 Please bill my personal credit card: ❑ Visa ❑ Mastercard ❑ AMEX Card Number. F.xp: Sec. Code: Name as it appears on the card: Billing Address: Signature: Paid For by Friends of Max Baucus Contributions Are Not Tax Deductible. EFTA_R1_02098221 EFTA02706033