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'99 Lincoln Day Dinner With
Mayor Rudy Giuliani

For Reservations, print out this form and mail it with your check to:

The Republican Party of Miami-Dade County
1790 Coral Way - Suite 200
Miami, Florida 33145
305-854-2960 · fax: 305-854-2961

Dinner only

NAME:

COMPANY NAME:
ADDRESS:
CITY: STATE: ZIP:
DAY TIME PHONE: OCCUPATION:

DINNER TICKETS $100 EACH - TABLE OF 10 @ $100 = $1000

NUMBER OF TABLES: TOTAL $
NUMBER OF SEATS: TOTAL $
TABLES / SEATS - TO BE RESERVED IN THE NAME OF:

Private Reception & Photo Op (Includes Dinner)

NAME:
COMPANY NAME:
ADDRESS:
CITY: STATE: ZIP:
DAY TIME PHONE: OCCUPATION:

Private Reception With Photo Opportunity $ 250 per person

NUMBER OF PERSONS: TOTAL $
RECEPTION TICKETS   - TO BE RESERVED IN THE NAME OF:

Personal and Corporate checks are accepted.
There is no limit on contributions to local political parties.
Contributions are not deductible for Federal Income Tax Purposes.
For more information call 305-854-2960

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