PATRIOTS FOR TRUMP DINNER October 9th, 2020 Tommy Gun Warehouse at the Rod of Iron Freedom Festival Grounds 105 Kahr Ave. Greeley, PA 18425 $5,000 - Diamond Sponsor: Table for 10, VIP access for 4. $150 – Patriot: Per Person ☐ ☐ $3,000 - Gold: Table for 10, VIP access for 2. $75 – Supporter: Per Person ☐ ☐ $2,000 - Silver: Table for 10, VIP access for 1. No, I cannot attend, but would like to contribute $_____________. ☐ ☐ $1,000 - Bronze: Table for 10. ☐ For information on joining the Trump Victory Finance Committee contact
[email protected] CONTRIBUTOR INFORMATION Please fill out every field. This information is required to contribute. Prefix First Name Last Name Preferred Name Employer (Required) Occupation (Required) Address City State Zip Cell Phone Work Phone Home Phone Email Signature (Required) JOINT CONTRIBUTOR INFORMATION (If applicable) Please fill out every field if you are giving from a joint account. Prefix First Name Last Name Preferred Name Employer (Required) Occupation (Required) Cell Phone Work Phone Home Phone Email Joint Contributor Signature (Required if Joint) PAYMENT INFORMATION ☐ Pay by personal check. Please make personal checks payable to Trump Victory, ☐ Pay by personal credit card *All credit cards processed by WinRed. ☐ Visa ☐ MasterCard ☐ American Express ☐ Discover Name on personal credit card Card Number Contribution Amount: $ Expiration Date Security Code TRACKING & RETURN INFORMATION Fundraiser ID (if applicable) 4683 Event Code (if applicable) E20PA006 Please send completed contribution forms and checks to Trump Victory: 310 First Street, SE; Washington, DC 20003. Paid for by Trump Victory, a joint fundraising committee authorized by and composed of Donald J.