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Old 06-15-2005, 05:40 PM   #1
Dr. Dan
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Join Date: Sep 2004
Location: Paris
Posts: 523
Herf With the Governator

Got this in my e-mail today. Anybody wanna go??


Please Join
Governor Arnold Schwarzenegger
for
An Evening of Cigars and Good Company
at the
Grand Havana Room
Friday, June 24, 2005
7:00 pm
301 N. Canon Drive
Beverly Hills, California
Business Casual Attire
Questions? Call Chelsea or Renee at (310) 450-2117
Limited to 100 guests.
THE FOLLOWING INFORMATION IS REQUIRED BY LAW:
Name______________________________________________ _________________________________
Address___________________________________________ ___________________________________
City/State/Zip_______________________________________________ _________________________
Phone__________________________________ Fax__________________________________________
E-mail______________________________________________ ________________________________
Occupation________________________________________ ____ Retired_________________________
Employer__________________________________________ ___________________________________
Cigar Night with Governor Schwarzenegger
GRAND HAVANA ROOM
Friday, June 24, 2005
Guest Please reserve ____ticket(s) at $5000 per person.
I am unable to attend but would like to contribute $___________.
Host Committee I agree to give or raise $25,000.
This includes 5 tickets to the event and special recognition. 
CREDIT CARD CONTRIBUTIONS
Mastercard Visa American Express
Amount of Contribution______________________________________ ___________________________
Credit Card #________________________________________ Expiration Date___________________
Name as it appears on the card______________________________________________ ______________
Is this a corporate card? Yes No Corporation Name___________________________________
If this is a corporate card by law it will be considered a corporate donation.
Address___________________________________________ ___________________________________
Authorized Signature_________________________________________ ___________________________
(must be same as name on the card)
Governor Schwarzenegger has formed a general purpose ballot measure committee (Governor Schwarzenegger's California Recovery Team, FPPC # 1261406) to raise funds
to support the Governor's agenda through the initiative process, legislative process or through grassroots activities. The committee may also use funds to oppose initiatives
that harm the Governor's plan for economic recovery and government reform. Contributions are not tax deductible for federal income tax purposes.
There are no limits to contributions to the CRT. Corporate and general PAC contributions are permissible. Contributions from public employee union PACs will not be accepted.
Foreign nationals are prohibited from making contributions to this committee, unless they have permanent residency status in the United States of America (a Green Card).
For additional information please call Renee Croce at (310) 450-2117.
Please make CHECKS payable to:
GOVERNOR SCHWARZENEGGER’S CALIFORNIA RECOVERY TEAM
Tax ID # 20-0428735 FPPC # 1261406
Kindly send completed form and donation to:
c/o Renee Croce
3110 Main Street, Suite 225, Santa Monica, CA 90405
You may also fax this form to 310-450-1761
__________________
-Dr. Dan
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