The Fairfax County Democratic Committee Presents

Sunday, September 13th, 2020 Live from the comfort of your own home!

Featuring

Congressman Congresswoman Congressman Gerry Connolly Awards Ceremony …and more

KEYNOTE SPEAKER TO BE ANNOUNCED

VIP Reception 6:00 - 6:30 pm General Reception 6:30 - 8:00 pm

Purchase Tickets at fairfaxdemocrats.org/2020dinner or use the registration form on the next page.

You will be sent your log-on credentials for the event 24 hours before the start of the event.

Paid for by the Fairfax County Democratic Committee, fairfaxdemocrats.org, not authorized by any candidate or candidate’s committee.

Representatives Beyer, Wexton and Connolly are appearing as guests of the Fairfax County Democrats. All funds solicited in connection with the Jefferson Obama Dinner are by the Fairfax County Democratic Committee and not by the Congresspersons. FAIRFAX COUNTY DEMOCRATIC COMMITTEE 2020 VIRTUAL JEFFERSON OBAMA DINNER September 13, 2020, 6:30 – 8:00 pm REGISTRATION Individuals may register and pay online at fairfaxdemocrats.org/2020dinner or by completing this form and mailing it with a check or credit card information to: FCDC, 8500 Executive Park Ave., Suite 402, Fairfax, VA 22031. Non-federal campaign committees, corporations, LLCs, and unions must pay by check.

___OH MY GOODNESS DO WE NEED A VICTORY AND I AM SO WILLING TO HELP (Host) - $2,500 • Premier recognition in the program and during event • Wine and artisanal cheese board delivered to your home • 2020 campaign swag • Access to the VIP reception

___Blue Wave Co-Host - $1,000 ___Friend - $175 • Recognition in the program and during event • Wine and artisanal cheese board delivered to your home • Campaign swag ___Individual Attendee - $75 • Access to the VIP reception

___Victory Sponsor - $500 ___Young Democrat (age 35 and younger) - $46 • Recognition in the program and during event • Campaign swag

• Access to the VIP reception

___Sponsor - $375 • Recognition in the program and during event ___Unfortunately, I am unable to attend, but please accept my • Access to the VIP reception contribution of $______

VIP Reception: Join Democratic officials and leaders, as well as our special guests, for a pre-event reception

Name Street Address City State Zip______Primary Phone Email Address Occupation Employer Name Employer City & State Enclosed is my check in the amount of $ payable to FCDC. I prefer to pay with my personal credit card: Visa MasterCard American Express Discover Name as it appears on the credit card Credit Card Number Exp. Date Signature Date

Your contribution may be used in connection with federal elections and is subject to the limitations and prohibitions of the Federal Election Campaign Act. Contributions that comply with the limitations and prohibitions of the Federal Election Campaign Act will be deposited into the FCDC federal account, and unless otherwise designated for non-federal purposes, will be used in connection with federal elections, and are subject to the above limitations and prohibitions. Other contributions will be deposited into the FCDC non-federal account. Federal and state law require political committees to report the name, address, occupation and employer of individuals whose contributions aggregate in excess of $200 and $100, respectively, in a calendar year. Contributions are not tax deductible for federal income tax purposes