EVENT CO-CHAIRS

LOUIS BACON STEVE BARNES RAJ BHATTACHARYYA DENIS COLEMAN PATRICK DURKIN NATE GATTEN TOM GRANT RUSS GERSON KERRY & PATRICK HEALEY AMBASSADOR BRENDA JOHNSON WOODY JOHNSON MICHAEL KALB NICHOLAS LOGOTHETIS SANJAY PATEL KARL PETERSON FRANCES PRENN CHARLIE RYAN MATTHEW SWIFT WILLIAM THOMAS LANCE TOLER ERIC VARVEL JOHN WALDRON
*COMMITTEE IN FORMATION

FOR A RECEPTION WITH

GOVERNOR MITT ROMNEY

TO BENEFIT

ROMNEY FOR PRESIDENT

WEDNESDAY, JULY 6, 2011

ENGLISH-SPEAKING UNION AT DARTMOUTH HOUSE 37 CHARLES STREET LONDON, W1J SED

6:00 PM
SUGGESTED CONTRIBUTION TO ROMNEY FOR PRESIDENT: $2,500 PER PERSON

KINDLY RSVP TO FIFI KNOTT AT (212) 801-1064 OR FKNOTT@MITTROMNEY.COM OR KATRINA FULLER 44(0)-207-100-6683 OR KATRINA@SCOTTPRENN.COM
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. Please note: Only American citizens or U.S. green card holders may contribute. U.S. law strictly prohibits foreign nationals from contributing or soliciting contributions. 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 Wednesday, July 6, 2011

REPLY INFO Yes, I will be attending the July 6th 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. 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 Katrina Fuller Scott Prenn, LLP, 25 Thurloe Street London SW7 2LQ Or make a secure credit card contribution online at https://mittromney.com/donate/#fid=2750&sc=EFF001 Fundraiser ID: 2750 Source Code: EFF001 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.