PLEASE JOIN
NEW YORK STATE SENATOR JOHN L. SAMPSON FOR A SPECIAL RECEPTION IN HONOR OF
NEW YORK STATE SENATOR MALCOLM A. SMITH (Senate Majority Leader)
SUNDAY, JUNE 14, 2009 12:30PM - 2:00PM SHIEL MEDICAL LABORATORY BROOKLYN NAVY YARD BUILDING 292 BROOKLYN, NEW YORK
PLEASE SEND YOUR RSVP TO
[email protected] OR CONTACT JASMYN HORRY AT 718.715.1710 BY FRIDAY, JUNE 12, 2009
Reply card for June 14, 2009 reception in honor of New York State Senator Malcolm A. Smith (Senate Majority Leader) ___ I/we will attend the luncheon and have enclosed my/our contribution of $_______ ___ I/we cannot attend, but have enclosed my/our contribution of $_______ Name(s) of attendee(s):__________________________________________________ Credit Card Contribution Please charge $________________ on my ________________________credit card. Card #: _________________________________________ Exp. Date: __________ This card is: ___ Personal ___ Corporate ___ Partnership ___ Other Name of Entity/Individual billed __________________________________________ For compliance with NYS Election Law, please provide the following information: Name: _______________________________________________________________ Home Address: ________________________________________________________ Employer/Occupation: ___________________________________________________ Employer Address: _____________________________________________________ Res. Phone: ____________________________ Email: ________________________ Bus. Phone: ____________________________ Fax: __________________________ I understand that State law requires that a contribution be in my name and be from my own funds. I hereby affirm that this contribution is being made from my personal funds, is not being reimbursed in any manner, and is not being made as a loan.
Contributor Signature: _____________________________________ Date: _________ Political contributions are not tax deductible. The maximum individual contribution is $5,400. The maximum corporate contribution is $5,000. Please make checks payable to Malcolm A. Smith or New York and mail to: 41 Union Square West, Suite 818, New York, NY 10003.
DIRECTIONS TO SHIEL MEDICAL LABORATORY AT THE BROOKLYN NAVY YARD FROM MANHATTAN Off the Brooklyn Bridge: At the first traffic light, make a left onto Tillary Street. At end of Tillary Street bear right and Tillary becomes Park Avenue, underneath the Brooklyn Queens Expressway (BQE). Make a left at Cumberland Street. Continue on Cumberland one block until you reach Flushing Avenue and the Main Gate to the Brooklyn Navy Yard. Ask for assistance at the gate to Building 292. Off the Manhattan Bridge: At the first traffic light, make a right onto Tillary Street. Continue on Tillary until you reach Jay Street. Make a right turn onto Jay. Continue on Jay until you reach Sand Street. Make a right onto Sand. Continue on Sand Street until you reach the dead end at Navy Street. Make a right onto Navy. Drive one block. Make a left onto Flushing Avenue. Proceed down Flushing Avenue until you reach Cumberland Street. Make a left into Yard. Ask for assistance at the gate to Building 292. Off the Williamsburg Bridge: From the outer roadway, take the first exit and as soon as you come off the bridge make a hard right turn onto Broadway. Proceed down Broadway until you reach Kent Avenue. Make a left onto Kent. Continue on Kent until you reach Clymer Street. Make a right into the yard. Ask for assistance at the gate to Building 292. FROM QUEENS Take the Brooklyn Queens Expressway (BQE) to Exit 31. Continue for two blocks and make a right onto Kent Avenue. Continue to first traffic light (at Clymer Street). Make a left turn into the Clymer Street and Kent Avenue Gate. Ask for assistance at the gate to Building 292.