Individual Ticket Options
Bronze Individual Ticket $80
Includes One Ticket To:
- Friday Night Welcome Reception
- Hospitality Suites
- Breakout sessions
Silver Individual Ticket $125
Includes One Ticket To:
- Friday Night Welcome Reception
- Hospitality Suites
- Breakout sessions
- National Strategy Lunch Saturday
Gold Individual Ticket $165
Includes One Ticket To:
- Friday Night Welcome Reception
- Hospitality Suites
- Breakout sessions
- National Strategy Lunch Saturday
- Congressional Breakfast Saturday
Reagan Host Committee Individual All-Access Ticket $500
Includes one ticket to:
- Friday Night VIP & General Welcome Reception
- Hospitality Suites
- Breakout sessions
- National Strategy Lunch Saturday with preferred seating
- Breakfast Saturday with preferred seating
- Advance Gala VIP Reception
- Advance Gala with preferred seating
- Recognition in pre-event materials and program
Advance Gala Individual Ticket $125
- Includes one ticket to the Saturday night RPV Advance Gala
2015 RPV Advance Registration
Name: _______________________________________________________________________
Company:
_________________________________________________________________
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Address:
_________________________________________________________________
City, State & Zip: ______________________________________________________________
Work Phone:
_______________________Home Phone______________________________
Email Address:_________________________________________________________________
Employer:
_______________________
Occupation:
__________________________
Federal Law requires us to use out best efforts to collect and report the name, mailing address,
employer and occupation for individuals whose contributions exceed $200 in a calendar year.
Please complete this form and email to kcourain@virginia.gop or mail to:
RPV, PO Box 12025, Richmond, VA 23241
All registration forms and payment received after Monday, November 30 2015 will be subject to
a $10 late fee.
Registration Levels
Individual Tickets:
À la carte:
Sponsorship
Opportunities:
Quantity
Bronze Level
Silver Level
Gold Level
Reagan Host Committee
Advance Gala
Cost
$80
$125
$165
$500
Total
$125
Cornerstone Sponsor
$1,000
$2,500
$5,000
$10,000
$25,000
Contributing Sponsor
Supporting Sponsor
Presenting Sponsor
Commonwealth Circle
$
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*If you are purchasing more than one ticket please list your guests’ names below:
1.
__________________________________________________
2.
__________________________________________________
3.
__________________________________________________
4.
__________________________________________________
5.
__________________________________________________
6.
__________________________________________________
7.
__________________________________________________
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8.
__________________________________________________
9.
__________________________________________________
10.
__________________________________________________
____ My Check is Enclosed (Payable to “The Republican Party of Virginia”)
____ Please Charge my Credit Card: VISA
MasterCard American Express
Discover
Name as it appears on card: _________________________________________________
Credit Card Number:__________________________________ Exp. Date: __________
Signature:
______________________________________
Thank you for your generous support of the Republican Party of Virginia.
Contributions are not tax deductible. Employment/Occupation information is required by the Federal Election
Commission and/or state laws. Subject to the limits and prohibitions of the Federal Election Campaign Act, all
contributions to the Republican Party of Virginia will be deposited into the federal account for use in federal elections
and other proper expenditures there from. Contributions exceeding federal limits shall be subject to the limits of
Virginia State Election Law. Corporate contributions are permissible only for non-federal election purposes and will
go to the Republican Party of Virginia’s state account. Virginia law requires us to report the type of business for all
corporate contributions exceeding $100. Foreign national contributions are prohibited under federal law.
Paid for by the Republican Party of Virginia
Not authorized by any candidate or candidate’s committee.
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