Save The Date

For a Reception In Support Of Dr. Brent Moody For State Representative

At The Home Of Mrs. Colleen Conway-Welch 109 Lynnwood Terrace Nashville,

With Special Legislative Guests

Majority Leader Senator Steve Dickerson Speaker Pro Tem Curtis Johnson

Chairman Chairman Gerald McCormick Representative Eddie Smith

Tuesday, October 17th 5:30 pm CT

Host - $3,000 Co-Host - $1,500 Supporter - $500 Attendee - $250

RSVP or Questions: Walker Ferrell | (731) 267-9410 | [email protected] ______

PAID FOR BY BRENT MOODY FOR STATE REPRESENTATIVE, AUSTIN MCMULLEN, TREASURER.

❏ Yes, I (we) will attend on the 17th, and would like to serve on the Host Committee. Please find enclosed my (our) contribution for $3,000.

❏ Yes, I (we) will attend on the 17th and would like to serve as a Co-Host. Please find enclosed my (our) contribution for $1,500.

❏ Yes, I (we) will attend on the 17th and would like to serve as a Supporter. Please find enclosed my (our) contribution for $500.

❏ Yes, I will attend on the 17th. Please reserve me ____ tickets for $250 per person. Enclosed is my contribution of $______.

❏ No, I will not be able to attend, but want to support Dr. Brent Moody for State _Representative. Please find enclosed my contribution of $______.

NAME:______GUEST:______

EMPLOYER & OCCUPATION ______

EMAIL: ______PHONE: ______

ADDRESS ______

CITY ______STATE ______ZIP ______

TO RSVP/QUESTIONS: Walker Ferrell | (731) 267-9410 | [email protected]

CONTRIBUTOR INFORMATION - I acknowledge that this contribution is made by check or credit card from my personal funds, LLC funds or corporate funds if registered with the State of Tennessee as a PAC. I am a U.S. citizen or permanent resident and this contribution will not be reimbursed by another person.

Signature: ______Joint Signature: ______By state law, the maximum amount an individual may contribute is $3,000 per person ($6,000 per couple) per each two (2) year election cycle. PACs can contribute up to $15,600 for the two (2) year cycle. Contributions to Brent Moody for State Representative are not tax deductible for federal income tax purposes. No cash donations will be accepted.

Please make checks payable to Brent Moody For State Representative 319 Walnut Drive⏐Nashville, TN 37205

Or donate online at drbrentmoody.com/donate/

PAID FOR BY BRENT MOODY FOR STATE REPRESENTATIVE, AUSTIN MCMULLEN, TREASURER.