Family Action

Membership Opportunities & Credit Card Payment Worksheet

 

*Name: _______________________________

*Address: _________________________________________

 

Mobile Phone: ___________________

Work Phone: ___________________

Home Phone: _________________________

 

Email Address: _________________________________________________

Fax Number: _________________________

 

*Occupation: ________________________________

*Employer: ___________________________________________

 

*C.C. Type: ___ Amex  ___ Visa ___ MC ___Disc

*C.C. #: ________________________________________________

 

*Amount to be charged: $________________ *Sec. Code____________________ *Exp. Date: ________________

 

If Joint Contribution, Name of Spouse:__________________________________________________________________

 

Spouse Occupation: ___________________________

Spouse Employer: _______________________________________

 

*Required Information: Your contribution cannot be processed without the inclusion of this information!

 

Please make checks payable to: FAPAC, 1601 Dove St. Ste. 145 Newport Beach, CA 92660 or fax credit card contributions to 949-955-2980 To request further information please contact Brenna Hughes at 562-458-1859.

 

Membership Opportunities

 

 PLATINUM CHAIRMAN’S CABINET MEMBERSHIP ($6,000)

Includes: Membership to the Chairman’s Leadership Cabinet & Ex-Officio Member of the Board of Directors, Annual Exclusive Chairman’s Dinner, Chairman’s Annual Insiders Reception, Candidate Receptions & Briefings, Annual

Christmas Event, Monthly Luncheons

 

 GOLD MEMBERSHIP ($3,000)

Includes: Annual Exclusive Chairman’s Dinner, Chairman’s Annual Insiders Reception, Candidate Receptions &

Briefings, Annual Christmas Event, Monthly Luncheons

 

 SILVER MEMBERSHIP ($1,000)

Includes: Chairman’s Annual Insiders Reception, Candidate Receptions & Briefings, Annual Christmas Event, Monthly Luncheons

Elected Officials & Non-Profit CEOs can join at this level for a special rate of $250

 

BRONZE MEMBERSHIP ($500)

Includes: Candidate Receptions & Briefings, Annual Christmas Event, Monthly Luncheons

 

 INDIVUALMEMBERSHIP ($250)

Includes: Annual Christmas Event, special Member rate for Monthly Luncheons and Special Events.

Member rate for monthly luncheons is $35. 

Whenever an Individual Member brings a first time guest to a monthly luncheon, the cost of lunch is waived for both Member and first time guest.

The rate for special events varies based on event.

 

Contributions to the Family Action PAC are not tax deductible as charitable contributions for federal income tax purposes.  The California Political Reform Act (Proposition 34) places limits on contributions to state political action committees and imposes certain prohibitions. This request does not seek a contribution in excess of applicable limits or from prohibited sources. An individual, corporation, PAC or other entity may contribute a maximum of $6,800 per calendar year.