PR&LA Winter 2018

YES! I want to protect my industry and support the PAC and Advocacy Fund. I/my company will contribute the following amount: q $50 q $100 q $250 q 365 Club q $500 q $750 q $1,000 q $2,500 q $5,000 q other $__________ CONTRIBUTION TYPE q Personal Check (payable to PRLA-PAC) q Corporate Check (payable to PRLA-Advocacy Fund) q PAC-to-PAC Check (payable to PRLA-PAC) q Credit Card (MasterCard or Visa only) CONTRIBUTOR INFORMATION (* required fields) *C ompany n ame _______________________________________________________________________________ *a ddress ___________________________________________________________________________________ *C ity ____________________________________________ * s tate ______________ * Z ip ___________________ *p hone _____________________________________ W ebsite __________________________________________ *C ontaCt n ame ________________________________ * C ontaCt e mail _____________________________________ CREDIT CARD PAYMENT Card Type: q MasterCard q VISA This is a : q personal card q corporate card Credit Card # ________________________________________Exp. Date__________ Security Code____________ Cardholder’s Name ___________________________________________________________________________ Billing Address (if different than above) _____________________________________________________________ City/State/Zip________________________________________________________________________________ Cardholder’s Signature_________________________________________________________________________ Good legislation begins with good lawmakers. The PAC financially supports lawmakers whose policies align with the hospitality industry’s priorities. The Advocacy Fund educates lawmakers on the issues and challenges facing the hospitality industry. Thank you for supporting our legislative and advocacy efforts. Please return this form and your contribution to PRLA, using the address below: Cont r ibut ion Form Political Action Committee & Advocacy Fund 100 State Street I Harrisburg, PA 17101 I 800.345.5353 I 717.236.1202 FAX I www.prla.org