The Orange County Republican Executive Committee

Proudly Announces its

2012 Lincoln Day Dinner

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Featuring Honored Guest and Speaker

Former Speaker of the United States House of Representatives

NEWT GINGRICH
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Dinner Hosts

Teresa Jacobs
Bill Donegan
Lydia Gardner
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Saturday, January 28th, 2012

VIP and General Receptions 5:00 -6:00 PM / Dinner 6:00-7:45 PM

Rosen Shingle Creek Resort, 9939 Universal Blvd., Orlando, FL 32819
Business Attire - Complimentary Self-parking (Valet for VIP)

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For further information and tickets:

Please go to LincolnDay.OCREC.org or phone 407-491-4343 or Fax 407-380-9500

RSVP/ticket order form on the following page

Contributions to the Orange County Republican Executive Committee are not deductible for federal
income tax purposes. Contributions permitted under federal law will be deposited into the OCREC federal
account (OCRECs federal component) unless otherwise designated and are subject to federal contributions
limitations. Contributions not permitted under federal law will be deposited into the OCREC local committee
account (OCRECs non-federal component) as permitted by law. Contributions from foreign nationals are
prohibited. Federal law requires political committees such as OCREC collect & report the name, employer,
address and occupation of individuals contributing over $200/year.
Paid for by the Orange County Republican Executive Committee (OCREC.org). Not authorized by any
candidate or candidate's committee.

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

RSVP/TICKET ORDER FORM

2012 Lincoln Day Dinner Featuring Presidential Candidate Speaker Newt Gingrich
Ticket Prices: ~
~
~
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General Admission Tickets (General Reception & Dinner) ...............................................

S 150
VIP Tickets (VIP Reception & Photo with Speaker Gingrich. Dinner, Free Valet Parking)... $ 350
Table of 10 General Admission Tickets.................................................................................. $ 1,500
Sponsor Table of 10 (2 VIP + 8 General Admission Tickets + Program Sponsorship credit). $ 2,500

Important Information: Seats will be assigned on first-come, first-served basis. Parties purchasing together on same RSVP Form will be seated
together at same table if at all possible. Payment must be received to reserve seats. Use this form to buy 1 -10 tickets, or table. If buying more
than 10 tickets, or more than 1 table, please use a second form (remember to use the same "Reference Name*' so we can find your order).
PLEASE include all attendees names on this form. If all guest names are not currently known, please write 'TBD". All names MUST be
received no later than Thu, January 26, 2012. Questions? For further information or to purchase tickets please visit www.lincolnday.ocrec.org or
call 407-491-4343, or fax to 407-380-9500 or email lincolnday@ocrec.org.
''Reference Name'' for order: .
( ) Check here to buy Sponsor Table (Identify 2 VIPs & 8 Gen Admin. Tickets below) - S2.500
Attendees Names

Ticket Type (Select Type)_____________

$ Total

1.

__________________________________________(

) Gen. Admission/$150 or (

) VIP/$350 __________________

2.

__________________________________________(

) Gen. Admission/$150 or (

) VIP/$350 __________________

3.

__________________________________________(

) Gen. Admission/$150 or (

) VIP/$350 __________________

4.

__________________________________________(

) Gen. Admission/$150 or (

) VIP/$350 __________________

5.

__________________________________________(

) Gen. Admission/$150 or (

) VIP/$350 __________________

6.

__________________________________________(

) Gen. Admission/$150 or (

) VIP/$350 __________________

7.

__________________________________________(

) Gen. Admission/$150 or (

) VIP/$350 __________________

8.

__________________________________________(

) Gen. Admission/$150 or (

) VIP/$350 __________________

9.

__________________________________________(

) Gen. Admission/$150 or (

) VIP/$350 __________________

10.

__________________________________________(

) Gen. Admission/$150 or (

) VIP/$350 __________________

GRAND TOTAL DUE (Fill in $2,500 if Sponsor Table) $___________________

Payment Options: ( ) Credit Card (MC or Visa Only) or ( ) Check Enclosed
If Credit Card, Type: ( ) Master Card or ( ) Visa. Card #: ____________________________________________
Name on Card:_____________________________________________________ Expiration: _____/_______ 3-digit Code:______
Billing Address:____________________________________________________________________________________________
REQUIRED INFO. FROM ALL PURCHASERS (Required for actual Purchaser, but not for every guest)

Name: (Person or Company):______________________________________________________________________

Address:__________________________________________________________________________________________________
Occupation/Type of Business:________________________________ Employer:_________________________________
Best Phone:____________________ Fax: ______________________ E-.Mail:_________________________________________
Send Form to: Credit Card orders may be Faxed to 407-380-9500 or e-mailed (PDF) to LincolnDay@OCREC.org Make out checks to
"OCREC Lincoln Day 2012" & mail to: "OCREC, 1320 N. Semoran Blvd., #207, Orlando, Fl. 32807.
Disclaimers & Notices: Contributions to the Orange County Republican Executive Committee are not deductible for federal income tax purposes. Contributions
permitted under federal law will be deposited into the OCREC federal account (OCRECs federal component) unless otherwise designated and are subject to federal
contributions limitations. Contributions not permitted under federal law will be deposited into the OCREC local committee account (OCRECs non-federal
component) as permitted by law. Contributions from foreign nationals are prohibited. Federal law requires political committees such as OCREC collect & report the
name, employer, address and occupation of individuals contributing over $200/year.
Paid for by the Orange County Republican Executive Committee (OCREC). Not authorized by any candidate or candidate's committee.

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.