Event hosts Mr. and Mrs. Red Adams Mr. and Mrs. Dane Andreef Mr. Ed Antie Mr. and Mrs. Scott Ballard Mr. and Mrs. Pete Bell Mr. and Mrs. Tom Benson Mr. and Mrs. Boysie Bollinger Mr. and Mrs. David Bondy Mr. Bill G. Boyd Mr. Ray Brandt Mr. J.E. Brignac Mr. and Mrs. Robert Bruno Mr. and Mrs. Hugh Caffery Mr. and Mrs. Joseph Canizaro Mr. and Mrs. Blake Chatelain Mr. and Mrs. Gary Chouest Mr. Laney Chouest Mr. Lee Mallet and Ms. Kym DiGiovani Mr. and Mrs. Bill Dore Mr. and Mrs. Peter Egan Mr. and Mrs. Ron Forman Mr. and Mrs. Kit Gamble Mr. Bob Guilbeau Mr. and Mrs. Fred Heebe Mr. and Mrs. Bill Hise Mr. Franklin Kyle, Jr. Mrs. Melissa Kyle Mr. Donald Lambert Mr. and Mrs. Jack Lawton Mr. Shelby LaSalle Honorable Bob Livingston Mr. and Mrs. Jeff Loftin Captain and Mrs. Michael Lorino Dr. and Mrs. Neil J. Maki Mr. and Mrs. Ed Markle Mr. and Mrs. Rolfe McCollister Mr. Julio Melara Mr. Robert M. Mills Mr. and Mrs. James R. Moffett, Jr. Mr. and Mrs. James W. Moore, Jr. Mr. Patrick Mulhearn Mr. Michael F. Nicoladis Mr. Michael O’Connor Mr. Nial Patel Mr. and Mrs. Joseph Picciola Mr. and Mrs. Teddy Ray Price Mr. Paul Rainwater Mr. and Mrs. Robert Rayford Mr. and Mrs. Jeff Richardson Mr. Jared Riecke Mr. Dave Roberts Mrs. Kelly Rush Savoy Mr. Russ Settoon Mr. and Mrs. Henry Shane Mr. and Mrs. Robert Shreve Mr. and Mrs. Gray Stream Dr. Raja Talluri Mrs. Phyllis Taylor Mr. and Mrs. Mike Wampold Mr. Wes Westley Mr. and Mrs. William Windham Mr. Michael Worley Mr. and Mrs. Bobby Yarborough Mr. and Mrs. Richard Zuschlag JOIN US FOR A SPECIAL FUNDRASING EVENT AT THE Hilton Hotel From 5:30 - 6:30 pm June Twenty-seventh Cocktails served 201 Lafayette Street Baton Rouge, LA 70801 OR Pay in advance $2,700 per individual $5,400 per couple See contribution form Paid for by Bobby Jindal Exploratory Committee Contributions to the Bobby Jindal Exploratory Committee are not tax deductible for federal income tax purposes. Contributions will be used in connection with testing-the-waters activities and are subject to the limitations and prohibitions of federal law. An individual may contribute a maximum amount of $2,700, and federal multi-candidate PACs may contribute a maximum amount of $5,000. Contributions from corporations, labor unions, federal government contractors and foreign nationals are prohibited. Contributions must be made from personal funds, may not be made in the name of another, and may not be reimbursed by any other person. Federal law requires us to use best efforts to obtain and report the name, address, occupation and employer for each individual whose contributions aggregate in excess of $200 in an election cycle. I am proud to support the Bobby Jindal Exploratory Committee by making a contribution of: $5,400 $2,700 $1,000 $750 $500 $250 per couple Contributor information: Each contributor must provide a name, address, occupation, and employer. Name: _______________________________________________ Address: ______________________________________________ City, State, Zip: __________________________________________ Occupation: _______________________ Employer: __________________________ E-mail: ____________________________________________________________ Work Phone: _____________________ Home Phone: _________________________ Fax: ______________________________________ Payment information: To contribute by personal check: Please make personal checks payable to “Bobby Jindal Exploratory Committee” and mail to: Bobby Jindal Exploratory Committee P.O. Box 5101 Baton Rouge, LA 70821 To contribute by personal credit card, please provide the following information: Type of credit card: MasterCard VISA American Express Discover Name (as appears on card): ______________________________________________ Card #: ________________________________ Exp. Date: ____________________ CVC: ______________________________________________________________ Address (associated with card): ____________________________________________ City, State, Zip: _______________________________________________________ Signature: __________________________________________________________ Paid for by Bobby Jindal Exploratory Committee Contributions to the Bobby Jindal Exploratory Committee are not tax deductible for federal income tax purposes. Contributions will be used in connection with testing-the-waters activities and are subject to the limitations and prohibitions of federal law. An individual may contribute a maximum amount of $2,700, and federal multi-candidate PACs may contribute a maximum amount of $5,000. Contributions from corporations, labor unions, federal government contractors and foreign nationals are prohibited. Contributions must be made from personal funds, may not be made in the name of another, and may not be reimbursed by any other person. Federal law requires us to use best efforts to obtain and report the name, address, occupation and employer for each individual whose contributions aggregate in excess of $200 in an election cycle.
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