IndyAHU.org

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Indy AHU Board Officers

President
Mr. Roger Fisher
317-919-7765
roger.fisher@insightbb.com

President-Elect
Beth Pastotnik
Phone � (317) 945-8595
BPastotnik@american-community

Past President
Ms. Anita H. Strauss
(317) 475-3000
Anita@FryeBrokerage.com

Treasurer
Mr. David C. Frye
(317) 475-3000 ext.7
dave@fryebrokerage.com

Secretary
Ms. Jennifer Revell
866-712-9584 ext 2359
jrevell@rdn-llc.com

Indiana State Association Of Health Underwriters Political Action Committee ISAHU � PAC ISAHU-PAC Contribution Form		Visit the 2008 IndyAHU.org Website Sponsor Visit the Sponsors of the 2008 IAHU Sales Congress RED CARPET SPONSOR PLATINUM SPONSORS GOLD SPONSORS
Please consider supporting the legislative activities of the Indiana State Association of Health Underwriters with your personal contributions to ISAHU � PAC in the amounts of:
	Platinum - $1000 Gold - $500 Silver - $200 Patron - $100 Contributor - $50* other $_______
*minimum amount to be recognized as a �contributor� at ISAHU-PAC events Corporate contributions** to ISAHU � PAC are also permitted. Please consider having your corporation make a contribution in the following amount:
	Platinum - $5000 Gold - $2500 Silver - $1000 Patron - $500
corporate contributions will be filed/listed in corporate name only on all reports Please forward all checks payable to ISAHU � PAC, with this completed contribution form to: Nicole Fairbairn, ISAHU � PAC Treasurer 14701 Cumberland Road, Suite 180 Noblesville, Indiana 46060 Please Note: Contributions to ISAHU � PAC are strictly voluntary and not a prerequisite for membership in your Health Underwriters Association. Contributions are not deductible as charitable contributions for state or federal income tax purposes. ISAHU-PAC Contribution Form**

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