____ Yes, I/we will be attending the event. Enclosed is my check for $_____

* * *

____ Sorry, I/we will not be able to attend, however, I/we wish to make a donation. Enclosed is my check for $_____

____ $2600 Ambassador club • ____ $1,500 Presidents Club • ____ $1,000 Senator Club

____ $500 Representative Club • ____ $250 Other / Friends Club

Please make checks payable to:
“Friends of Michael Wildes”

Please mail checks to:
250 Allison Court
Englewood, New Jersey 07631

Please provide the following information, as required by New Jersey election law:

Name: _______________________________________________________

Address: ____________________________________________________


City: ___________________________ State: _____ Zip: ________

Employer: ___________________________________________________

Title: ______________________________________________________

Address: ____________________________________________________

City: ___________________________ State: _____ Zip: ________

Work Telephone Number: ( _______ ) _________________________

Home Telephone Number: ( _______ ) _________________________

Email: ______________________________________________________

Contribution Guidelines:

1. Please make checks or money orders payable to: “Friends of Michael Wildes.” Please note that “Friends of
Michael Wildes” cannot accept cash contributions and money orders must bear the signature of the contributors.

2. The New Jersey Election Law Enforcement Commission contribution limit for all entities is currently $2,600 per election cycle.

3. Contributions are permissible from individuals, corporations, labor organizations, and PACs.

4. Contributions from individuals must be accompanied by the name, occupation, employer name and employer
address, as required by law.

5. Contributions from joint account holders can be made with a single check provided both names appear on the account and each
individual signs the check. A contribution drawn on a joint account but with a single signature will be allocated to the individual who signed the check.

6. Contributions may be drawn on the account of partnerships and limited liability corporations, but must be
attributed in specific partners/members and will count against their $2,600 contribution limit.

7. Contribution checks from partnerships or LLCs must be signed by the contributing partner/member or must be accompanied by a letter allocating
the contribution to the individual partner/member. If the contribution is from more than one partner/member, all must sign a single letter detailing
each individual’s name and allocation amount.

8. Contributions may not be reimbursed by the contributor’s employer, relative, or any third parties under any

9. Foreign nationals and foreign corporations are not allowed to contribute.

10. Contributions are not tax deductible.

11. State law prohibits contributions by banks, insurance corporations, public utilities, cable, television corporations, and any majority shareholder
in these companies. The Casino Control Act prohibits contributions from companies, which hold, or are applicants for a casino license in any state,
including any holding company or subsidiary of a casino licensee or applicant. Officers, directors, key employees, and principal employees of
such casino related companies cannot contribute. Members of the Casino Control Commission and their employees are also prohibited from ontributing.

12. For more information, contact the N.J. Election Law Enforcement Commission at (609) 292-8700.

13. Thank You

Paid for by Friends of Michael J. Wildes, Claudia Colbert, Treasurer