EVENT CO-CHAIRS

IRA AKSELRAD JEFF ALTMAN PAUL ANNUNZIATO MICHAEL ASHNER GENE ATKINSON ROBERT BAZYK RICHARD BREEDEN MIKE BROMBERG BEVERLY BRUCE GREG BUTLER RAY CALDIERO ED CAMPANA STEVEN J. CARLSON MICHAEL CHAE BEN CHRNELICH ADAM M. COHEN JOSH CONNOR RICHARD COONS HENRY DRUKER TED DUFF PATRICK DURKIN LEW EISENBERG JOHN EYDENBERG PETER EZERSKY GEOFFREY FINK JOANNE FIRSTENBERG HON. TOM FOLEY IKE S. FRANCO LOUIS FRIEDMAN HON. BRUCE GELB SANDER GERBER GARY GLADSTEIN LANCE GRABER MARK GRAHAM DAVID GRAY MITCHELL GREEN JOHN GRIFFIN JOSH HARRIS BILL HARRISON PATRICK HASKELL CHRISTOPHER HEINTZ EMIL HENRY BILL HEYMAN MATT HIGGINS JEFF HOLZSCHUH RICHARD HUROWITZ RALPH ISHAM JEFFREY JAY MCLLOYD JENSEN HON. BRENDA JOHNSON WOODY JOHNSON MARK JUNEWICZ AARON KENNON STEVE KETCHUM YOO JIN KIM GINNY & DAVID KNOTT BILL KOURAKOS TAYLOR KUSHNER CURTIS LANE A. ALEX LARI BILL LAVERACK LARRY LAWRENCE HON. JOHN F. LEHMAN PETER LEIDEL RANDY LEVINE LEORA LEVY FRANK LORENZO BILL MANGER, JR. GEORGE MATTSON BOB MATZA JAMES MCCUMMINGS AUDREY MCNIFF MATTHEW MELLON THOMAS MERCEIN MUFFY & DONALD MILLER TOM MULROY ALEX NAVAB DAVID NEELEMAN TOM NEFF DAVID NOBLE TOM NOLAN JACQUES C. NORDEMAN CHRIS OBERBECK PETER ORTHWEIN ZACK PACK NICHOLAS PAPPAS JIM PARSONS JOHN PAULSON STEVEN PIERSON E. MILES PRENTICE, III JACK PRESTON REINIER PRIJTEN PHILIP RICHTER ALEX ROBERTSON ERIC ROSEN PHIL ROSEN STEVE ROSS MARC ROWAN ERIC RUTKOSKE MICHAEL SANTINI JOHN SARGENT MUNEER SATTER ANTHONY SCARAMUCCI HOWARD SCHILLER JOE SCHMUCKLER ALEX SLOANE CHRISTOPHER STADLER HON. CRAIG STAPLETON BARRY STERNLICHT ALISA & JOSH SWIDLER RALPH TAWIL EDMUND TAYLOR ALLAN TEH LANCE TOLER W. JAMES TOZER PETER TRAVERS BARRY VOLPERT JOHN WALDRON KIM WALIN MIKE WHITE HON. JOHN WHITEHEAD JON WINKELRIED STEVE ZIDE BILL ZIEGLER

CORDIALLY INVITE YOU TO A RECEPTION WITH

GOVERNOR MITT ROMNEY
HOUSE 160 CENTRAL PARK SOUTH  GRAND BALLROOM
(BETWEEN SIXTH & SEVENTH AVENUES)
AT ESSEX

TUESDAY, SEPTEMBER 27, 2011
PRIVATE VIP RECEPTION AT 8:00 AM - $2,500 PER PERSON/$5,000 PER COUPLE GENERAL RECEPTION AT 8:30 AM - $500 PER PERSON/$1,000 PER COUPLE YOUNG PROFESSIONALS (35 YEARS OLD OR UNDER) - $100 PER PERSON
Kindly RSVP to Fifi Knott  FKnott@MittRomney.com  212-801-1064
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
1

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  Tuesday, September 27 2011
REPLY INFO  Yes, I will be attending the September 27th Private VIP Reception. Enclosed is my contribution of $ _____________ ($2,500 per person/$5,000 per couple).  Yes, I will be attending the September 27th General Reception. Enclosed is my contribution of $ _____________ ($500 per person, $1,000 per couple).  Yes, I will be attending the September 27th General Reception as a Young Professional. Enclosed is my contribution of $ _____________ ($100 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 Employer______________________________________ Joint Contributor Employer_______________________

 AMEX

 Discover

Account Number________________________________________

Expiration Date__________________________

Name on Card____________________________________________________________________________________ Signature_________________________________________________________________________________________ Mail to: Romney for President, Inc. c/o Fifi Knott  190 Elizabeth Street, Apt. 6R  New York, NY 10012 Or Fax: 212-298-8339; or Scan/Email to: fknott@mittromney.com Or Contribute Online Via Secure Site: https://mittromney.com/donate/#fid=&sc=ENY026

Fundraiser ID: _____________ Source Code: ___ENY026___
Contributions are not tax deductible as charitable contributions for federal income tax purposes. Contributions by corporations, foreign nationals (nongreen 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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