Harris County Democratic Party - Johnson-Rayburn Dinner Event

, , 2006.

HCDP Headquarters:
1445 North Loop West
(East of IBEW Bldg.)
Suite 110
Houston, TX 77008

Phone: 713-802-0085
Fax: 713-802-2082
email: hcdp@hcdp.org

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Political Advertising paid for by the Harris County Democratic Party, 1445 N. Loop W., Suite 110, Houston, TX 77008. Not authorized by any candidate or candidate’s committee.

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Events Tickets
2005 Johnson-Rayburn Dinner and Auction

To Pay By Check
To pay by check, to reserve tables, and for individual ticket charges exceeding $2000, click here to download the mail-in form (PDF format, 31KB).
Complete the form and mail it, along with your check or credit card information, to the Harris County Democratic Headquarters at 1445 North Loop West, Suite 110, Houston, TX 77008. You may also fill out the form and call in the information to Party Headquarters at 713-802-0085.
You will receive written confirmation of your reservations.

To Pay Online:
Fill out the form below. When you click the "Complete Reservations" button, you will be taken to our Paypal page. Please select the tickets you wish to purchase, and you will be able to complete your transaction on a secure Paypal page. You do not need to have a Paypal account to use the Paypal service.
*$2,000.00 USD new user limit: Users who are new to PayPal's service can only send $2,000.00 USD through PayPal because they have not yet verified their account. To verify their account, a new user must confirm their email address and confirm a bank account. If you do not have a verified Paypal account and wish to reserve special tables, or for charges over $2000, use the form above, or contact the Harris County Democratic Party headquarters at 713-802-0085.

First Name:
Last Name:
Street Address:
City, State, ZIP:	,
Work Phone:
Home Phone:
Occupation:
Employer:
Email:
Fax:
Club:

Individual Ticket(s):	$125.00* PLEASE NOTE: Individual tickets are $125 until September 25. Tickets prices will increase to $150 after September 25. No tickets will be sold at the door.



	IMPORTANT: Federal campaign contributions guidelines require that we collect the above information for FEC filing purposes. All information you provide is private and will not be communicated to anyone else. Your transaction information is processed by Paypal, a secure third-party company, and we do not ever see or have access to your credit card information. Your contribution may be used in connection with federal elections and is subject to the limits and prohibitions of the Federal Election Campaign Act. Individuals may give our federal account up to $10,000 per year. However, HCDP also accepts contributions under Texas law. Therefore, please indicate if your contribution cannot be used federally. Under Texas law, HCDP is permitted to accept nonpolitical contributions from corporations and labor unions. Contributions are not tax deductible. Please contact the headquarters if you need additional information.

Paid for by the Harris County Democratic Party, 1445 North Loop West, Houston, TX 77008; 713-802-0085; http://www.hcdp.org. Not authorized by any candidate or any candidate's committee.