SAVE THE DATE!

You Are Cordially Invited To A Breakfast

To Support

GOVERNOR MITT ROMNEY

Hyatt Regency Irvine
17900 Jamboree Road Irvine, CA 92614

Monday, July 23, 2012

Breakfast (Time TBD)
GIVE or RAISE $50,000
2 Tickets to the Host Committee Reception 2 Tickets to the Photo Reception 1 Photo Opportunity (2 people per photo) Table of 10 for Breakfast

GIVE $10,000
2 Tickets to the Photo Reception 1 Photo Opportunity (2 people per photo) 2 Tickets to Breakfast

INDIVIDUAL TICKETS: $2,500 per person (includes preferred seating)

$1,000 per person

For additional information or to RSVP, contact Stacy Davis at 949.474.6930 or stacy@stacy-davis.com
Romney Victory, Inc. Post Office Box 149757 Boston, MA 02114-9757

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). 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.

Breakfast with Governor Mitt Romney Monday, July 23, 2012 at The Hyatt Regency Irvine

Yes, I would like to GIVE or RAISE $50,000 to support the Romney Victory Committee!
Includes: 2 tickets to the Host Committee Reception, 2 tickets to the Photo Reception with 1 photo opportunity and a table of 10

Yes, I/we would like to make a donation in the amount of $10,000 to support the Romney Victory Committee!
Includes: 2 tickets to the Photo Reception with 1 photo opportunity and 2 tickets to Breakfast

Yes, I/we would like to attend. Please make reservations for ___ individuals at $2,500 per person (includes preferred seating) Yes, I/we would like to attend. Please make reservations for ___ individuals at $1,000 per person No, I/we cannot attend but will contribute: $50,000 $25,000 $10,000 $5,000 $2,500 $1,000 ____Other
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:

Name_____________________________________________ Spouse Name_____________________________________________ Address_____________________________________________________________________________________________________ City_____________________________________________ State______________________ Zip_____________________________ Work Phone_______________________ Mobile Phone_________________________ Home Phone_________________________ Fax Phone_________________________ Email_____________________________________________________________________ Occupation__________________________________________ Employer_______________________________________________ Joint Contributor Occupation___________________________ Joint Contributor Employer_______________________________ 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_________________________________________________________________________________ CREDIT CARD REPLY Please charge my contribution of $___________ to my credit card. Visa MasterCard AMEX Discover

Account Number________________________________________________ Expiration Date______________ CSC____________ Name on Card_____________________________________ Signature_________________________________________________

For additional information or to RSVP, contact Stacy Davis at 949.474.6930 or stacy@stacy-davis.com

Make contributions payable to Romney Victory and mail to: c/o Stacy Davis 24651 Evereve Circle, Suite #1 Lake Forest, CA 92630 *USPS Mail Preferred Or Fax: 949.305.9919; or Scan/Email to: stacy@stacy-davis.com

Fundraiser ID: _______

Proceeds to RV shall be allocated by the following formula: 1.

Event Code: ECA053

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. 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.

2.

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).

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

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.