***Denver, CO * June 7, 2007*** Please make personal or PAC checks payable to “Bill Richardson for President, Inc.” Contributions to Bill Richardson for President, Inc. are limited to $2,300 per individual ($4,600 per couple) and federal multi-candidate PACs may contribute $5,000 per election. A husband and wife may contribute a maximum of $4,600 by one check drawn from a joint account and signed by both individuals. Contributions to Bill Richardson for President, Inc. are subject to the prohibitions and limitations of the Federal Election Campaign Act. Contributions from corporations, national banks, federal contractors, and foreign nationals who are not admitted for permanent residence in the United States are prohibited. All contributions must be made from personal funds and may not be reimbursed or paid by any other person. PAC checks will be accepted. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and name of employer for individuals whose contributions exceed $200 in an election cycle. If this is a contribution from a husband and wife by one check drawn from a joint account and signed by both individuals, please provide the requested information below for both individuals. Name: __________________________________________________________________________________ Amount________________ Name: __________________________________________________________________________________ Amount________________ Work Address: _____________________________________________________________________________________ City: _________________________________________ State: _________________ Zip Code: ______________________ Home Address: _____________________________________________________________________________________ City: _________________________________________ State: _________________ Zip Code: ______________________ Home Phone: ________________________________________Work Phone: ____________________________________ Fax: _________________________________________________ Cell Phone: ____________________________________ Email: _______________________________________________
Solicitor of contribution: _________________________
Occupation: ___________________________________________ Employer: ____________________________________________ If you prefer to pay by credit card, please complete the following: Credit Card Type: _____ Visa _____ MasterCard _____American Express Name on card: ____________________________________________________________________________ Billing Address (if different): ________________________________________________________________ Card Number: ______________________________________________________Exp. Date: __________ Amount: ___________________ By signing below, I am affirming that I am making this contribution on my own personal credit card and not with a corporate or business card or a credit card issued to anyone else. Contributor Signature: _______________________________________________________________ Contributions are not tax-deductible for Federal income tax purposes
Please make checks payable to: Bill Richardson for President, Inc. 303 Massachusetts Avenue, NE, 3rd Floor Washington, DC 20002 (202) 543-3182 (Work); (202) 543-8004 (Fax) FOR INTERNAL USE EC __0607Denver________________ SC _________________________ SC2_________________________MC _______________________ CN _________________ DR _________________Staff ___Kdey__ VS / AI / PB Notes ___________________________________________
Paid for by Bill Richardson for President, Inc.