SAVE THE DATE

ENDORSING MEMBERS OF CONGRESS BREAKFAST RECEPTION WITH

GOVERNOR MITT ROMNEY

THURSDAY, MARCH 22, 2012
AT

on

HYATT REGENCY WASHINGTON 400 NEW JERSEY AVENUE, NW WASHINGTON, DC 20001

8:00AM ENDORSING MEMBERS CHOOSE: CO-CHAIR (TABLE OF 10): RAISE $10,000 HOST (5 SEATS): RAISE $5,000
FOR MORE INFORMATION, PLEASE CALL 703-299-1226 OR EMAIL GRETCHEN MOSS AT GRETCHEN@GRETCHENMOSS.COM OR MATTHEW WELSH AT MATTHEW@VIRGINIACONSULTINGGROUP.COM
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.
Paid for by Romney for President, Inc. www.MittRomney.com
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

Breakfast Reception Thursday, March 22nd, 2012

REPLY INFO Yes, I will serve as a Co-Chair (raise $10,000). Yes, I will serve as a Host (raise $5,000). No, I am unable attend, but enclosed is a contribution of $________. 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 per person ($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 whose contributions aggregate in excess of $200 per election cycle. Please complete the following: Occupation__________________________________________ Joint Contributor Occupation____________________________ CREDIT CARD REPLY Please charge my contribution of $___________ to my credit card. Visa MasterCard AMEX Discover Employer______________________________________ Joint Contributor Employer________________________

Account Number________________________________________

Expiration Date__________________________

Name on Card____________________________________________________________________________________ Signature_________________________________________________________________________________________ Mail to: Romney for President, Inc. c/o Gretchen Moss, 123 N Pitt St., Suite 500, Alexandria, VA 22314 Fundraiser ID: Source Code: ______ EDC009 _

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
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.