reception

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Mar 26, 2012 - account to be attributed to two individuals, both must sign this form, ... to my credit card. ❑ Visa. â
SAVE THE DATE Event Committee M ARY & WILLIAM AGEE DONNA & BOYD BAUGH SANDY & D ICK BOYCE SHEILA & M IKE BRAND STEVEN BUSTER DICKSON BUXTON M ARTHA EHMANN C ONTE BRAD D EFOOR G EORGE D RYSDALE SUSAN & FRANK D UNLEVY PAMELA & GRANT FINLAYSON JENNIFER FONSTAD C AREY & M ATT G ARDNER M ARY & GARY G EORGE C INDY & RICK HOLBROOK

SANDRA & TOM HOLLAND RUTH & JEFF HOUSENBOLD ED KAHL N ANCY & JOHN KOEBERER KATHRYN & BRENT KNUDSEN C AROLINE LABE STEVEN LAUB SHANNA & RAYMOND LEE AFSHIN M OHEBBI SUSAN & SCOTT M CN EALY C AROLE & ROBERT M CN EIL ELLEN & M ATT M ORAN SUSAN & ALAN OLSEN TINA C ANALES & G REG ONKEN KENDRA & ERIK RAGATZ

M ARY & TOM REES M INDY & JESSE ROGERS JILLIAN M ANUS & ALAN SALZMAN GARY SHANSBY JILL & BOYD SMITH DANEAN & JEFFREY SMITH GREG STANGL JANI & JARED STONE TERESA & PATRICK SULLIVAN GARY SUMMERS C HRISTINE & VINCE TOBKIN ALEXIS & TREVOR TRAINA WILLIAM TRACHMAN M EG WHITMAN & G RIFF HARSH

CORDIALLY INVITE YOU TO AN EVENING WITH

GOVERNOR MITT ROMNEY MONDAY, MARCH 26, 2012 C O-C HAIR - $25,000 (RAISE ) EVENT SPONSOR - $10,000 (RAISE ) EVENING RECEPTION & PHOTO OPPORTUNITY - $5,000 PER COUPLE EVENING RECEPTION - $1,000 PER PERSON

HOTEL SOFITEL SAN FRANCISCO BAY 223 TWIN DOLPHIN DRIVE ~ REDWOOD CITY Reception Start Time TBD KINDLY RSVP TO JULIE WESTLAKE AT (707) 968-5463 OR [email protected] Contributions are not tax deductible as charitable contributions for federal income tax purposes. By law, the maximum amount an individual may contribute is $2,500 ($5,000 per couple) per election. Federal multi-candidate PACs may contribute $5,000 per election. Contributions by corporations, foreign nationals (non-green card holders), labor unions, federal government contractors, and minors under the age of 18 are prohibited. Romney for President, Inc. Post Office Box 149756 Boston, MA 02114-9756

Paid for by Romney for President, Inc. www.MittRomney.com

BAY AREA RECEPTION  MONDAY, MARCH 26, 2012 REPLY INFO Yes, I/we will be attending the March 26th event as a Co-Chair and pledge to raise $25,000. Includes 2 tickets to the post reception dinner with Mitt and photo opportunity. Enclosed is my contribution of $ ________ ($2,500 per person/$5,000 per couple)

Yes, I/we will be attending the March 26th event as a Sponsor and pledge to raise $10,000.

Includes 2 tickets to the photo opportunity. Enclosed is my contribution of $ ________ ($2,500 per person/$5,000 per couple)

 Yes, I/we will be attending the March 26th Reception, Enclosed is my contribution of $ ________ ($2,500 per person/$5,000 per couple)**  Yes, I/we will be attending the March 26th Reception. Enclosed is my contribution of $ ________ ($1,000 per person).  No, I am unable attend, but enclosed is a contribution of $_______________. ** Couples who give the maximum of $5,000 will be included in the Photo Reception.

Please make your check payable to: Romney for President, Inc. Name_______________________________________________________________________________________________ Address_____________________________________________________________________________________________ City_________________________________________________State______________________Zip___________________ Home Phone_______________________________________ Work Phone________________________________________ E-mail_______________________________________________________________________________________________ CONTRIBUTOR INFO This contribution is made by check or credit card from my personal funds and is not drawn on an account maintained by an incorporated entity. I am a U.S. citizen or permanent resident and this contribution will not be reimbursed by another person. Signature_______________________________________________________________________ By law, the maximum amount an individual may contribute is $2,500 ($5,000 per couple) per election. For a contribution from a joint account to be attributed to two individuals, both must sign this form, indicating agreement with the above statement. Joint Contributor Signature_________________________________________________________ Federal law requires us to obtain and report the name, mailing address, occupation and name of employer for each individual w hose contributions aggregate in excess of $200 per election cycle. Please complete the following: Occupation__________________________________________

Employer_____________________________________

Joint Contributor Occupation___________________________

Joint Contributor Employer_______________________

CREDIT CARD REPLY Kindly fax completed form to (707) 286-5545. Please charge my contribution of $___________ to my credit card.  Visa

 MasterCard

 AMEX

 Discover

Account Number_____________________________________________

Expiration Date________________________

Name on Card______________________________________________________________________________________ Signature__________________________________________________________________________________________ Mail to: Romney for President, Inc. c/o Julie Westlake, 1241 Adams Street #1115, St. Helena, CA 94574

Fundraiser ID: 7072 Source Code: ECA032

Contributions are not tax deductible as charitable contributions for federal income tax purposes. Contributions by corporations, foreign nationals (non-green card holders), labor unions, federal government contractors, and minors under the age of 18 are prohibited.

Paid for by Romney for President, Inc. www.MittRomney.com