Prosecutor

Steve Counelis

Candidate for Riverside County Superior Court Judge

Campaign Fundraiser

Tuesday, April 13, 2010

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

Citrus City Grille

3555 Riverside Plaza Dr.

Riverside, CA 92506

$100 per person

$150 per couple

$250 VIP per person

$500 per group of 4 (Silver Sponsor)

$1000 per group of 6 (Gold Sponsor)

$2500 per group of 8 (Platinum Sponsor)

__Yes, I would like to attend please make 0 1 2 3 4 5 6 7 8 9 10 reservations at $100 per person

__Yes, I would like to attend please make 0 1 2 3 4 5 6 7 8 9 10 reservations at $150 per couple

__Yes, I would like to attend please make 0 1 2 3 4 5 6 7 8 9 10 reservations at $250 per person VIP

__Yes, I would like to attend please make 0 1 2 3 4 5 6 7 8 9 10 reservations at $500 per group of 4 (Silver Sponsor)

__Yes, I would like to attend please make 0 1 2 3 4 5 6 7 8 9 10 reservations as at $1000 per group of 6 (Gold Sponsor)

__Yes, I would like to attend please make 0 1 2 3 4 5 6 7 8 9 10 reservations as at $2500 per group of 8 (Platinun Sponsor)

__No, I cannot attend please make accept my donation of   

Guest Names:  

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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:

Steve Counelis for Judge - 2010

3711 A. Arlington Ave.

Riverside, CA 92506

I.D.#1325026

Not printed or distributed at government expense.

Corporate and personal checks accepted.