CO-CHAIRS

LISA & CHRIS COLLINS DONNA DEPRISCO REP. BRAD JONES HON. RON KAUFMAN BOB MAGINN JOE O’DONNELL BRIAN SHORTSLEEVE DAVID TAMASI
COMMITTEE IN FORMATION

TED CUTLER TOM JANES DARLENE & JERRY JORDAN BRIDGET & BILL KOCH CHRISTINA & TAD O’DONNELL GEOFF REHNERT ERIC STEINHILBER REP. DAVE VIEIRA

CORDIALLY INVITE YOU TO A RECEPTION WITH

GOVERNOR MITT ROMNEY
AT THE HOME OF

177 SEAPUIT RIVER RD  OSTERVILLE, MA
SUNDAY, AUGUST 14, 2011
Reception 6:00 PM $2500 PER PERSON

BRIDGET AND BILL KOCH

Kindly RSVP to Magan Munson  mmunson@mittromney.com  857-288-3569
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. Romney for President, Inc. Post Office Box 149756 Boston, MA 02114-9756 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.

Reception  Sunday, August 14, 2011
REPLY INFO  Yes, I will be attending the August 14th Reception. Enclosed is my contribution of $ __________ ($2,500 per person).  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 ($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 Magan Munson  PO Box 149756  Boston, MA 02114-9756

Fundraiser ID: __ ___ ___ Source Code: ___EMA006__

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.

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