Come meet the Republican Candidate!
at the
Columbus Club of East Providence
3200 Pawtucket Avenue
East Providence, RI 02914
Thursday, November 19, 2009
6:00 PM to 9:00 Pm
Come and lend your support!
Reserve your place today for only $20 per person.
Please complete, detach, & mail the RSVP form below (by 11/16/09), along with your check to: Clupny, Representative District 62. C/o Joseph A Giammarco,Esq., 76 Belvidere Blvd., North Providence, RI 02911. For inquiries, please contact Joe Giammarco at ltuta1 [at] aol [dot] com.
Please make your check payable to “Clupny, Representative District 62”. Thank you for your generous support!
___ YES! I will attend Tom’s fundraiser reception. Enclosed, please find my personal check or money order in the amount of _____ for ______ reservations.
___ In addition, I would like to make an extra contribution of: $_______.00 (maximum of $1,000 per calendar year).
___ I am unable to attend. However, please accept my contribution of $______.00 (maximum of $1,000 per calendar year).
Name:____________________________________________ Employer:________________________________________
Address:__________________________________________ Occupation:_______________________________________
City:_____________________________________________ Home Phone:________________ Work Phone:___________
State:___________________ Zip Code:_________________ Email Address: ____________________________________
State campaign financing law requires us to record the name, address, employer and occupation of contributors.
Corporate and business checks cannot be accepted. Political Contributions are not tax deductible.
Individual donors are limited to donating no more than $1,000 per calendar year.~ Thomas L. Clupny, Treasurer
Tom’s website is http://www.TOMCLUPNY.COM


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