MELISSA AND REEVE WAUD

EVENT CHAIRS TOGETHER WITH EVENT CO-CHAIRS

MIKE ADHIKARI WINNIE AND ROBERT CRAWFORD SUSAN CROWN TY FAHNER RON GIDWITZ ERIC HARGAN DAVID HERRO YVETTE AND LOU KLOBUCHAR JIMMY JOHN LIAUTAUD JOHN E. MCGOVERN, III DEAN PAPADAKIS MUNEER SATTER

RON BULLOCK DAVID CHRISTIAN CRAIG DUCHOSSOIS HOWARD FOSTER AL GORDON TRACI AND E. BARRY MANSUR JUDY AND VERNE ISTOCK WILLIAM KUNKLER ROBERT MCCORMACK MIMI AND BOB MURLEY RICHARD PORTER MILES WHITE

(HOST COMMITTEE IN FORMATION)

CORDIALLY INVITE YOU TO AN EVENING RECEPTION AND DINNER WITH

GOVERNOR MITT ROMNEY

AT THE HOME OF MELISSA AND REEVE WAUD 991 ELM TREE ROAD IN LAKE FOREST, IL 60045

TUESDAY, SEPTEMBER 11, 2012 AT 5:30 PM

ROMNEY VICTORY MAX OUT CONTRIBUTOR ROMNEY VICTORY FOUNDING MEMBER PRIVATE DINNER PHOTO-OP AND GENERAL RECEPTION GENERAL RECEPTION
1

$75,800 PER PERSON $50,000 PER PERSON $25,000 PER PERSON $10,000 PER PERSON $ 2,500 PER PERSON
630.752.9661

FOR MORE INFORMATION, PLEASE CONTACT LISA WAGNER AT LISA@LWCOINC.COM

Romney Victory, Inc. c/o Lisa Wagner & Company, Inc., PO Box 446, Batavia, IL 60510 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), and the official Republican Parties in four states (the Idaho Republican Party, the Massachusetts Republican State Congressional Committee, the Oklahoma Leadership Council, and the Vermont Republican Federal Election Committee). 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 State Congressional Committee, the Oklahoma Leadership Council, and the Vermont Republican Federal Election Committee.
Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

Evening Reception and Dinner Tuesday, September 11, 2012

Yes, I/we will make the maximum contribution to Romney Victory, which includes the September 11 dinner for two, photo-op and general reception, and all Romney Victory Founding Partner Benefits. Enclosed is my contribution of $ __________ ($75,800 per person/$151,600 per couple). Yes, I/we will become a Romney Victory Founding Member, which includes the September 11 dinner for two, photo-op and general reception, and all Romney Victory Founding Member Benefits. Enclosed is my contribution of $ __________ ($50,000 per person/$100,000 per couple). Yes, I/we will attend the private dinner , photo-op and general reception . Enclosed is my contribution of $ __________ ($25,000 per person/$50,000 per couple). Yes, I/we will attend the September 11 Reception with Photo-Opportunity and General Reception. Enclosed is my contribution of $ __________ ($10,000 per person/$20,000 per couple). Yes, I/we will attend the General Reception . Enclosed is my contribution of $ __________ ($2,500 per person). No, I am unable attend, but enclosed is a generous contribution in support of Governor Romneys campaign 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__________________________________________ Joint Contributor Occupation___________________________ CREDIT CARD REPLY Please charge my contribution of $___________ to my credit card. Employer______________________________________ Joint Contributor Employer_______________________

Visa

MasterCard

AMEX

Discover

Account Number___________________________________________

Expiration Date___________________________

Name on Card____________________________Signature____________________________________________________ Mail to: Romney Victory, Inc. c/o Lisa Wagner and Company, Inc. PO BOX 446 Batavia, IL 60510 Or Fax: 630.752.9679; or Scan/Email to: lisa@lwcoinc.com Fundraiser ID: MANSUR 787000 Source (or Event) Code: 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 State Congressional Committee, the Oklahoma Leadership Council, and the Source: Sunlight Foundation's Party Time www.politicalpartytime.org. TheFederal Election Committee. Vermont Republican Sunlight Foundation collects these invitations from anonymous lobbyist sources.