Support New Haven Republican Town Committee

Join us on Thursday, December 18 at Brazi's Restaurant, 201 Food Terminal Plaza, at 7PM for our annual Holiday Party. Your ticket includes appetizers, dinner and dessert. It begins with hot and cold antipastos of Fried Calamari, Seafood-Stuffed Mushrooms, Clams Casino, Fresh Mozzarella, Tomatoes, Cold Cuts, Olives, Artichoke Hearts, Roasted Red Peppers, Provolone Cheese, continues with pasta, breads, soup or salad, your entree choice of Chicken Brazi, Stuffed Pork Chop, or Salmon Florentine and finishes off with dessert! Coffee/tea/soda are included.

Choose Amount

Email*

Send me updates by email(not needed for receipts)

Phone*

Send me updates by text*

* By providing your phone number, you are consenting to receive text message updates, including automated text messages, to that number from New Haven Republican Town Committee. Message & Data rates may apply, and message frequency may vary over time. Reply "STOP" to opt out of these text message updates.

First name*

Last name*

Residential Address*

Apt, Unit, etc.

City*

State*

Zip*

Country*

This form only accepts US addresses.

Are you currently employed?*

YesNo

Employer Name

Occupation

Is contribution being made from the account of a sole proprietorship?*

If yes, and name is different than the individual contributor, list NAME OF SOLE PROPRIETORSHIP

Are you a principal of a state contractor or prospective state contractor? If yes, please indicate which branch or branches of government the contract(s) is with:*

Are you a communicator lobbyist OR the spouse or dependent child of a communicator lobbyist?*

Are you a principal of a holder of a valid prequalification issued by the Commissioner of Administrative Affairs?*

If "yes" are you an elected public official?

Select yoour dinner choice*

Brazi's ChickenSalmon FlorentineStuffed Pork Chop, spinach, gorgonzola, mushroom sauce

Card Number*

Exp. Date*

CVC / CVV*

Zip*