T he 2009 L incoln D ay D inner

Tuesday, June 23, 2009 • Please reply by Tuesday, June 16, 2009

Name(s)____________________________________________________

Address_____________________________________________________

City____________________State______ Zip_______________________

Phone_______________________ Fax____________________________

E-Mail______________________________________________________

Occupation (if check is over $100)______________________________

EVENT TICKETS - $50 ea. PATRONS TABLE - $1500

# OF TICKETS TOTAL ENCLOSED Table for 10 with preferred table location

# OF TICKETS TOTAL ENCLOSED

I would like to buy an extra ticket(s)
for a teen or Young Republican

CHAIRMANS CIRCLE - $500 STATESMAN’S SOCIETY - $1000

Membership includes two tickets Membership includes two tickets for both Lincoln
for the Lincoln Day Dinner. Day and the Statesman of the Year dinners.
Check enclosed for $50 Check enclosed for $1000

GOVERNOR’S CLUB - $5000

Membership includes a 10 seat table for both Lincoln Day
and a preferred table at the Statesman of the Year dinners.

Check enclosed for $5000

Please make checks payable to: The Republican Party of Sarasota County
Please see reverse side for payment by Credit Card
T he 2009 L incoln D ay D inner
Our guests for the 2009 Lincoln Day Dinner include:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

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Tables seat ten guests
Please respond promptly, seating is limited.

You may remit payment by Credit Card:

Name on Card_____________________________________

[ ] VISA [ ] MasterCard [ ] American express

Credit Card #______________________________________

Expiration Date_ _______________CW#________________

(The CW# is the last three numbers on the back of your card)

Please help send a teenage Area Republican or Young

Republican to the dinner by purchasing a $50 ticket for
them. Just add TR or YR to the guest list and add the cost of the
ticket(s) to your check or credit card payment.