Dr. Kevin and Carolyn Accola Britt and Jan Beemer

Damon and Melanie Chase Bruce and Sandy Deardoff

Armando Gutierrez Oscar Juarez

Jennifer and Chris Kanistras Rick Lee

Joe Mantilla Richard McMillin

Walt Meloon Dr. Jeffrey Sevor

cordially invite you to a birthday fundraising reception honoring

Congresswoman Sandy Adams

24th Congressional District, Florida

Friday, December 2, 6:00-8:00pm

at the Home of Britt and Jan Beemer

5100 Crane’s Point Court, Orlando

To RSVP, please contact Jamie@SandyAdams.com or 561.212.6662 by November 29.

Please make checks payable to Sandy Adams for Congress.

Maximum allowable contribution is $2,500 per person per election, $5,000 per Federal PAC per

election. The primary and general are considered separate elections and individuals may contribute a total

of $5,000 and PACs a total of $10,000.

www.SandyAdams.com

If you are unable to attend, please mail the below form in or visit

www.sandyadams.com to contribute to the campaign for

Congresswoman Adams’ birthday.

____ Yes, I will attend, enclosed is my contribution of $____________.

____ No, I will not be able to attend, but enclosed is my contribution of $__________.

I would like to make a contribution by (check one): __ Visa __ M/C __ AMEX __ DISC __ Check

Credit Card Number ______________________________________ Exp.___________

Name on credit card ________________________________ Security Code* __________

Signature _______________________________________ Amount _______________

*The Security Code is the 4-digit number on the front of an American Express card, just above the last digit

of the card number, or the 3-digit number on the back of all other cards immediately to the right of the

signature box. This code is required to process a credit card contribution.

Please make checks payable to: Sandy Adams for Congress

Please provide the following information. Federal law requires us to use our best efforts to

collect and report the name, mailing address, occupation and name of employer of

individuals whose contributions exceed $200 in an election cycle.

Contributions are not deductible for income tax purposes. NAME _________________________________________________________

ADDRESS ______________________________________________________

CITY/STATE/ZIP_________________________________________________

PHONE (_____) ____________________ FAX (_____) __________________

EMPLOYER ____________________________________________________

OCCUPATION ___________________________________________________

EMAIL ADDRESS ________________________________________________

Contributions can be mailed to Sandy Adams for Congress,

PO Box 782148, Orlando, Florida 32878

or you can visit www.SandyAdams.com to contribute online.