Businesses (see definitions here) can purchase an advertisement in an ad book that will be on display for guests at the fundraiser! If you operate as a sole proprietorship and want to contribute, click here. Questions or to send your ad info: jackie@cthrcc.com

The law allows a business entity to purchase up to an aggregate total of $250 worth of advertising space each calendar year on a sign or in a program book for fundraising affairs sponsored by a political committee and not have it considered a contribution. See General Statutes § 9‐601a (b) (10) (B).

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$50 Quarter page advertisement

$250 Full page advertisement

$125 Half page advertisement

Phone

Name

First

Last

Residential Address

Street Address

Apt.

City

State

Zip

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Name of Purchaser Date of fundraiser Is the purchaser a business entity? Is the purchase being made from the account of a Sole Proprietorship? Name of business: Your business address: If you are a business entity, are you a state contractor or prospective state contractor? If "yes" to either question, name of business or name of sole propietorship: Are you a communicator lobbyist? If you are an individual, are you the spouse of a dependent child of a communicator lobbyist? If you are an invididual, are you a principal of a state contractor or prospective state contractor?

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Card Number

Exp. Date

CVC

ZIP / Postal

Your card code is incomplete. Your card code is invalid. Your card code is missing. Your expiration date is incomplete. Your expiration date is missing. Your expiration date is in the past. Your card number is incomplete. Your card number is invalid. Your card number is missing. Your billing ZIP is incomplete. Your billing ZIP is missing.

Bank Routing Number (9 digits) Bank Account Number (4-17 digits)

Bank Account Type

Business Personal

Checking Savings Checking Savings

Click to confirm these statements are true.

I hereby certify and state that all of the information disclosed by me and set forth above on this card is true and accurate to the best of my knowledge and belief.

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*If you are an individual you may enter an alternate address in lieu of your residential address only if you are admitted into the Address Confidentiality Program pursuant to General Statutes § 54-240(a) or if you are one of the individuals with protected address status articulated in General Statutes §1-217.

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