Southington Republican Town Committee
 
Monthly Meeting
On Monday June 16, 2008 @7 PM
@
Manor Inn
1636 Meriden Waterbury Rd.
Southington, CT  06489
628-9877
A waitress will be available to take your dinner &/or drink orders.
Please join us to try out this new comfortable meeting location

Paid for Southington Republican Town Committee,
Steve Kalkowski, Treasurer & approved by Ed Pocock II
 
 
The Southington Republican
Town Committee

Your support is appreciated and needed!

Enclosed is my personal check for: 0 $10/ 0 $20 / 0 $40 / 0 $60 
	
	0 $100  or  0 $______

Please make checks payable to:  SRTC
(The NEW maximum allowable individual contribution is $1000 per person)

Name:________________________________________________

Home Address:_________________________________________

City:_______________________ State:_________ Zip:_________

Principal Occupation:_____________________________________

Name of Employer:_______________________________________

Are you a lobbyist?  Yes/ No

Are you the spouse of a lobbyist?  Yes/  No

Are you the dependent of a lobbyist?   Yes/  No

(All information must be completed due to new campaign laws)

Please mail to:
SRTC
323 Thistle Lane 
Southington, CT 06489

Paid for by Southington Republican Town Committee, P.O. Box 752, Southington, CT  06489
Steve Kalkowski, Treasurer & approved by Ed Pocock II