Rudy Giuliani Presidential Committee Reply Form

RUDY GIULIANI PRESIDENTIAL COMMITTEE REPLY FORM Yes! Rudy can count on me/us participating at the following level: $9,200 (Maximum Contribution for General and Primary Election Funds per couple) $4,600 (Maximum Contribution for General and Primary Election Funds per individual) I have already contributed the maximum amount to the primary election and want to contribute an additional $____________ (up to $2,300) for the general election. $2,300 (Maximum Contribution Primary Election Funds per individual)

Please make check(s) payable to:

$1,000

$500

OTHER ________

“Rudy Giuliani Presidential Committee, Inc.” P.O. Box 1023 Merrifield, VA 22116-9565

Federal law requires us to obtain and report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $200 in an election cycle. Name: Prefix: _____ First: _________________________ Middle: __________ Last: ________________________ Address: ______________________________________ City: __________________ State: _____ Zip: __________ Home #: ___________________________ Cell #: ___________________________ Work #: _________________ Fax #: _____________________________ Email: ____________________________________________________ Employer: _________________________________________ Occupation: ________________________________ My signature below attests that this contribution is made by check or credit card from my personal funds and is not drawn on an account maintained by an incorporated entity. I am a US Citizen or permanent resident and this contribution will not be reimbursed by another person. In order for a contribution from a joint account to be attributed equally to two individuals, both individuals must sign this form.

Signature: _________________________________________

Spouse Contributor Information for Joint Contributions Name: Prefix: _____ First: _________________________ Middle: __________ Last: ________________________ Nickname: _________________________________________ Home #: __________________________________ Work #: ________________________________ Email: _______________________________________________ Employer: ________________________________________ Occupation: _________________________________ If this contribution is intended to be a contribution from a couple, signature of spouse must be provided. Signature: _______________________________________________

Credit Card Contributions: (please check one) VISA MasterCard American Express Discover Card Number: __________________________________________ Expiration Date: _________________________ Amount: $_________________________ Cardholder Name: ___________________________________________ Signature: _________________________________________ Contributions are not deductible for federal income tax purposes. Federal Election Law requires us to report the name, address, occupation, and employer for contributions that aggregate in excess of $200 in an election cycle. The maximum an individual may contribute is $2,300 per election, with the primary and general elections treated separately. As a result, any initial contribution up to $2,300 is designated for the primary and any additional amount is designated for the general, up to a total of $4,600 per person. A couple may contribute $9,200, designated per person in accordance with the proceeding sentence. Federal multi-candidate PACs may contribute $5,000 for the primary and $5,000 for the general. Contributions from corporations, labor organizations, federal government contractors, and foreign nationals without permanent residency status ("green cards") are prohibited.

Solicitor:

Tracking #: Paid for by the Rudy Giuliani Presidential Committee, Inc. www.JoinRudy2008.com

Event Code: