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Northern California Finance Committee

Pam & Steve Eggert Gail & Al Montna Pam Peterson

Northern California Host Committee


Lana & Jon Dresser, M.D. Deborah Gieseke & John Koeberer Debra & Kimber Goddard Robbie & KR Hovatter Cindy & Fred Kenney Karen & Stan Leavitt Dawn & Dan Ostrander LaDawn & John Stone Lisa & Jack Williams

CORDIALLY INVITE YOU TO A

ICK-OFF LUNCHEON WITH

GOVERNOR MITT ROMNEY


11:30 AM VIP PHOTO RECEPTION 12:00 PM - LUNCHEON

TUESDAY, JUNE 21, 2011


SHERATON GRAND

1230 J STREET SACRAMENTO


EVENT CO-HOST: RAISE $10,000 LUNCHEON: $1,000
FOR MORE INFORMATION OR TO RSVP, PLEASE CONTACT WENDY WARFIELD AT WWARFIELD@WENDYWARFIELD.COM OR 916-492-9604
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. 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. 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 Exploratory Committee, Inc. Post Office Box 149756 Boston, MA 02114-9756

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

Kick-Off Luncheon Tuesday, June 21, 2011


REPLY INFO Yes, I will Co-Host the June 21st Kick-Off Luncheon. I agree to raise $10,000 and will personally contribute $_______ ($2,500/person). Includes 2 tickets to the VIP Photo Reception and 1 photo Yes, I will attend the June 21st Kick-Off Luncheon. Please reserve _____ seat(s) at $1,000 per person. No, I am unable attend, but enclosed is a contribution of $_______________. Please make your check payable to: Romney for President Exploratory Committee, Inc. Name(s)_________________________________________________________________________________________ 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 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 Expiration Date________________________ Employer_____________________________________ Joint Contributor Employer_______________________

Account Number___________________________________________

Name on Card____________________________________________________________________________________ Signature_________________________________________________________________________________________ MAIL TO: Romney for President Exploratory Committee, Inc. c/o Wendy Warfield 921 11th Street, Suite 701, Sacramento, CA 95814 OR fax completed forms to 916.492.9382 Fundraiser ID: ________________ Source Code: ECA002

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 Exploratory Committee, Inc. www.MittRomney.com