With Special Guest

Senator Hillary Rodham Clinton

Ruby Dee, Chevy Chase, & Aretha Franklin

WEDNESDAY - AUGUST 8, 2007 - 6:00 PM

TAVERN ON THE GREEN

New York City

PLEASE RSVP TO WALTER SWETT AT 212-862-4990 or walter@rangelcampaign.org

Yes! I want to join the Host Committee for the Birthday Gala and have my name listed on the invitation. I will be participating in this event by writing/raising for the National Leadership PAC as a:

Host $5000 Sponsor $2500 Patron $1000

Chairman’s Circle $500 Special Guest $200

---------------------------- Please fax this form to (212) 862-4845 ------------------------------

NAME: ________________________________________________________________________

OCCUPATION: ____________________________ EMPLOYER: _________________________

ADDRESS: ______________________________________________________________________

CITY: ____________________________ STATE: ______________ ZIP: ____________________

PHONE: ____________________ FAX: _­__________________ EMAIL: ___________________

CREDIT CARD NO. _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _ EXP DATE: (Month/Year) ____ /____

Visa ‡ MC ‡ Amex ‡ Discover ‡

Please return this form with your check to:

The National Leadership PAC, PO Box 5577, Manhattanville Station, NY 10027

Corporate contributions are prohibited. Contributions are not tax-deductible.

Paid for by The National Leadership PAC, PO Box 5577, New York, NY 10027 (212) 862-4990.

Not authorized by any candidate or candidate committee.