THE HON.

TOM GRAVES CINDY & CHIP HOWALT

SARAH & JEFF LORBERBAUM PHIL NEFF THE HON. DAVID PENNINGTON

ANITA & JULIAN SAUL BOB SHAW BUD SHAW

CORDIALLY INVITE YOU TO AN EVENING RECEPTION WITH

PRESS SECRETARY FOR ROMNEY FOR PRESIDENT

ANDREA SAUL
THURSDAY, MAY 24, 2012

NORTHWEST GEORGIA TRADE & CONVENTION CENTER 2211 DUG GAP BATTLE ROAD DALTON, GA
VIP RECEPTION 5:30PM ($2,500 PER PERSON / $5,000 PER COUPLE) GENERAL RECEPTION 6:00PM ($100 PER PERSON) HOST COMMITTEE (RAISE $20,000) KINDLY RSVP TO DABNEY HOLLIS, GEORGIA FINANCE DIRECTOR, AT 404-791-7179/DABNEYH@ME.COM
Contributions to Romney Victory, Inc. (RV) are not tax deductible for federal income tax purposes. RV is a joint fundraising committee composed of Romney for President, Inc. (RFP), the Republican National Committee (RNC), the official Republican Parties in four states (the Idaho Republican Party, the Massachusetts Republican Party, the Oklahoma Leadership Council, and the Vermont Republican Federal Election Committee), the National Republican Senatorial Committee (NRSC), and the National Republican Congressional Committee (NRCC). Romney Victory, Inc. Post Office Box 149757 Boston, MA 02114-9757
Paid for by Romney Victory, Inc., a joint fundraising committee authorized by and composed of Romney for President, Inc., the Republican National Committee, the Idaho Republican Party, the Massachusetts Republican Party, the Oklahoma Leadership Council, the Vermont Republican Federal 11 Election Committee, the National Republican Senatorial Committee, and the National Republican Congressional Committee.

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

May 24, 2011, RSVP

Yes, I will be attending the VIP Photo Reception. Enclosed is my contribution of $ ______ ($2,500/person $5,000/couple). Yes, I will be attending the General Reception. Enclosed is my contribution of $ ______ ($100/person). Yes, I would like to be on the host committee and raise $20,000, starting with my personal contribution of $ ______ ($100/person). No, I am unable attend, but enclosed is a contribution of $_______________. Please make your check payable to: Romney Victory, 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_______________________________________________________________________ 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 collect and report the name, mailing address, occupation, and name of employer of each contributor whose contributions aggregate in excess of $200 in a calendar year (RNC and state parties) or election cycle (RFP). Please complete the following: Occupation__________________________________________ Employer______________________________________ Joint Contributor Occupation___________________________
CREDIT CARD REPLY

Joint Contributor Employer_______________________

Please charge my contribution of $___________ to my credit card. Visa Account Number___________________________________________

MasterCard

AMEX

Discover

Expiration Date___________________________

Name on Card____________________________Signature____________________________________________________ Mail to: Romney for President, Inc. c/o Dabney Hollis, 2902 Wyngate Dr, Atlanta, GA 30305 Fundraiser ID: ___________ Source Code: ____EGA010___ Proceeds to RV shall be allocated by the following formula: 1. Individuals and non-multicandidate PACsThe first $2,500 will go to RFPs primary account. The next $2,500 will go to RFPs general account. The next $30,800 will go to the RNC. The remaining amount will be split evenly among the federal accounts of the Republican Parties of Idaho, Massachusetts, Oklahoma, and Vermont, up to a maximum of $10,000 per committee. 2. Multicandidate PACsThe first $5,000 will go to RFPs primary account. The next $5,000 will go to RFPs general account. The next $15,000 will go to the RNC. The remaining amount will be split evenly among the federal accounts of the Republican Parties of Idaho, Massachusetts, Oklahoma, and Vermont, up to a maximum of $5,000 per committee.

Notwithstanding this allocation formula, a contributor may designate a contribution for a specific participant or participants. In addition, the allocation formula may change if any contribution would exceed applicable contribution limits. Contributions from corporations, labor unions, federal contractors, and foreign nationals are prohibited. Federal law requires us to collect and report the name, mailing address, occupation, and name of employer of each contributor whose contributions aggregate in excess of $200 in a calendar year (RNC and state parties) or election cycle (RFP).
Paid for by Romney Victory, Inc., a joint fundraising committee authorized by and composed of Romney for President, Inc., the Republican National Committee, the Idaho Republican Party, the Massachusetts Republican Party, the Oklahoma Leadership Council, the Vermont Republican Federal Election Committee, the National Republican Senatorial Committee, and the National Republican Congressional Committee.

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