“Yes, I want to make an investment in Real Estate”
RPAC Membership Levels
(Installment payments are available for each option)
Please check one:
GOLDEN R($5000) Pledge amount: $__________
CRYSTAL R($2500)Pledge amount: $__________
STERLING R($1000 to $4999)Pledge amount: $__________
PRESIDENTS CLUB($500 to $999) Pledge amount: $__________
CAPITOL CLUB($250 to $499)Pledge amount: $__________
99 CLUB($99 to $249) Pledge amount: $__________
OTHER Pledge amount: $__________
Please include the following information along with your RPAC contribution:
Name:___________________________________________________________________________
Address:_________________________________________________________________________
City: _________________________________________ State: ___________ Zip: ______________
Local Board:___________________________________ Date: _____________________________
Please make checks payable to RPAC or charge your contribution to:
Visa/Mastercard ONLY (circle one) Number:___________________________________________
Expiration Date:_____/_____/_____ Signature__________________________________________
Please fax this sheet to NYSAR at (518) 462-5474 or mail contributions to: NYSAR, 130 Washington Ave, Albany, NY 12210
For questions regarding RPAC, call NYSAR’s Government Affairs Department at (518) 463-0300 ext. 217 or by email at govt@nysar.com
Contributions made to RPAC are voluntary and are used for political purposes. You may refuse to contribute without reprisal or otherwise affecting your membership rights or entry into the sweepstakes. 70 percent of each contribution will be sent to your state PAC for state and local political activities. Contributions to National PAC are charged against your limits under 2 U.S.C. 441. Contributions are not deductible for Federal income tax purposes. For a full set of rules, please send a SASE to “RPAC Sweepstakes” 130 Washington Ave., Albany, NY 12210
