Collegeville Borough Limerick Township Lower Providence Township Perkiomen Township Royersford Borough Skippack Township Trappe Borough Upper Providence Township Worcester Township

Doug Hager, ChairmanDon Madison, Vice Chairman

Art Bustard, SecretaryJeff Asher, Treasurer

Montgomery CountyRepublican Committee

AREA42013 FALL FUNDRAISER

with special guest:

Congressman Jim Gerlach Breakfast Buffet

Saturday September 7, 2013

Where: Chadwicks Restaurant 2750 Egypt Road • Audubon, PA 19403

Time: 8:30 AM to 10:30 AM

Price: $30.00 per person/ $50 per couple

Fare: Scrambled eggs, omelette station, pancakes, bacon, sausage, fruit, toast, juice, coffee and tea

______________________________________________________________BUFFET TICKET REQUEST FORM

Enclosed is my check in the amount of $_____________________for_______tickets for the Buffet.NAME____________________________________________________________________________________NUMBER & STREET_______________________________________________________________________CITY__________________________________STATE______________________________ZIP____________TELEPHONE NUMBER_____________________________________________________________________

SPONSORS: ____ $300 GOLD LEVEL ____ $200 SILVER LEVEL ____ $100.00 BRONZE LEVEL

I would like to be a sponsor for the event: Enclosed is my check in the Amount of $_____NAME____________________________________________________________________________________NUMBER & STREET_______________________________________________________________________CITY__________________________________STATE______________________________ZIP____________TELEPHONE NUMBER_____________________________________________________________________No Corporate checks accepted. Our Committee Treasurer needs your name and home address to fulfill Election Reporting requirements

Make Checks payable to: Friends of Area 4Mail Checks to: Area 4 P.O. Box 1154 Skippack, PA 19474

Will Pay at Door. Please Confirm attendance by e-mail: abustard@cedarsadvertising.com