Republican National Committee Release - We Bfundraising 05

Although there are many levels to assist our political activities, for a large majority, our party's getout-the-vote activities are fueled by small dollar donations coming from a wide spectrum of people across Connecticut. Often, contributions of $10, $20, $50, and $100 make our Election Day efforts a huge success. We ask that you take a look at the CTGOP and our accomplishments. With a contribution to our Party, you are making an investment in the future of our great state. I ask that you make the commitment to ensure that our candidates are victorious. Please mail your may your checks payable to Connecticut Republicans Mail To Connecticut Republicans 97 Elm St (Rear) Hartford, CT 06106 Please PRINT this form and Mail with your check Full Name:

*Employer:

*Occupation:

*Home Address:

*City:

*State:

*Zip:

*Phone:

*Email:

*Are You a Lobbyist? Yes

No

*Are You the Spouse of a Lobbyist? Yes

No

*Are You the Dependent of a Lobbyist? Yes

No

*Do you have a contract with the State of CT valued at more than $5,000? Yes

No

*Are you a director, officer, limited or general partner, or holder of 5% stock in a business which has a contract with the State of Connecticut valued at more than $5,000? Yes

No