Fundraiser for

John J. Benoit

Riverside County Supervisor - 4th District

Wednesday, May 12, 2010

6:00 p.m. - 8:00 p.m.

Home of Tim & Cheryl Maley

3856 Sandy Point Drive

Blyth, CA

$25 per person

Host Committee

$250 per couple

$500 per group of 4

$1000 per group of 6

__Yes, I would like to attend please make 0 1 2 3 4 5 6 7 8 9 10 reservations at $25 per person

__Yes, I would like to be on the Host Committee please make 0 1 2 3 4 5 6 7 8 9 10 reservations at $500 per group of 4

__Yes, I would like to be on the Host Committee please make 0 1 2 3 4 5 6 7 8 9 10 reservations at $1000 per group of 6

__No, I cannot attend please make accept my donation of  

Guest Names:  

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Name:

Address:

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NOTES:

You may press the send button and it will be automatically emailed to us or print this page and fax back to 951-686-1998

Please make checks payable to:

Benoit for Supervisor - 2010

3711 A. Arlington Ave.

Riverside, CA 92506

Campaign ID#1320901

Corporate and personal checks accepted