Please Join
Richard Bowler, Magdalen Gaynor, Steven Schurkman,
Susan Slater-Jansen and Frank Streng
For a dinner in support of
Judge Barbara Jaffe
For New York County Surrogate
Tuesday, July 10th, 2012
La Boca Ristorante
8 Church Street, White Plains, NY 10601
$750 Per Person
RSVP to Frank Streng at fstreng@mccarthyfingar.com
or 914-385-1022
Checks may be made payable to:
Judge Barbara Jaffe for Surrogate
c/o Frank Streng
McCarthy Fingar LLP
11 Martine Avenue - White Plains, NY 10606-1934
Dinner for Judge Barbara Jaffe
Tuesday, July 10th, 2012 - 6:00 p.m. to 8:30 p.m.
La Boca Ristorante
8 Church Street, White Plains, NY 10601
Please complete this form and bring to the party or mail to address below. If you have any questions please contact the campaign at (212) 531-2858 or campaign@judgebarbarajaffe.com
For compliance with New York State Election Law and campaign guidelines, please complete the following:
Name: ____________________________________________________________
Address: __________________________________________________________
City: ___________________________ State: ___________ Zip:___________
Employer: ______________________ Occupation: _______________________
Phone:( ) _____________________ Work Phone:( )___________________
Email: _____________________________________________________________
I verify that all funds used to make this contribution are from my personal funds and are not being reimbursed from any other source.
Signature: Date:
Please make all checks payable to:
Judge Barbara Jaffe for Surrogate
c/o Frank Streng
McCarthy Fingar LLP
11 Martine Avenue - White Plains, NY 10606-1934
Contributions to Judge Barbara Jaffe for Surrogate are not tax deductible for federal income tax purposes.
A corporation may contribute a maximum of $5,000 during a calendar year, subject to New York State's aggregate limits for corporate contributions. Contributions may be made by Political Action Committees and Unions.
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