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Dinner Chairs
NANCY ALBERTINI & STEVE METZGER SANDY & DICK BOYCE DICKSON BUXTON BRAD DEFOOR SUSAN & FRANK DUNLEVY PAMELA & GRANT FINLAYSON JENNIFER FONSTAD MARY & GARY GEORGE SANDRA & TOM HOLLAND KATHRYN & BRENT KNUDSEN GRETCHEN & AMB. HOWARD LEACH DEBORAH & PETER MAGOWAN JILLIAN MANUS & ALAN SALZMAN SUSAN & SCOTT MCNEALY MARY MEEKER SUSAN & WILLIAM OBERNDORF CAB & GARY ROGERS MINDY & JESSE ROGERS JILL & BOYD SMITH JANI & JARED STONE TREVOR TRAINA MEG WHITMAN & GRIFF HARSH

GOVERNOR MITT ROMNEY

WEDNESDAY, DECEMBER 7, 2011
The Marriott 1800 Old Bayshore Highway Burlingame, CA 94010
Dinner Co-Chair PRIVATE ROUNDTABLE, PHOTO RECEPTION AND DINNER $15,000 TO $25,000 RAISED FOR THE DINNER Dinner Committee PHOTO RECEPTION AND DINNER $10,000 RAISED FOR THE DINNER Dinner ($2,500 PER PERSON PREFERRED SEATING) ($1,000 PER PERSON)
KINDLY RSVP TO KRISTIN HUETER AT (510) 420-1199 OR khueter@khueter.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. 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.

CORDIALLY INVITE YOU TO OUR MAJOR BAY AREA DINNER WITH

MAJOR BAY AREA DINNER WEDNESDAY, DECEMBER 7, 2011

REPLY INFO Yes, I/we will be attending the December 7th Dinner as a Co-Chair and pledge to raise $15,000 to $25,000. Includes Private Roundtable, Photo Reception and Dinner. Enclosed is my contribution of $ ________ ($2,500 per person/$5,000 per couple) Yes, I/we will be attending the December 7th Dinner as a member(s) of the Dinner Committee and pledge to raise $10,000. Includes Photo Reception and Dinner. Enclosed is my contribution of $ ________ ($2,500 per person/$5,000 per couple) Yes, I/we will be attending the December 7th Dinner. Enclosed is my contribution of $ ________ ($2,500 per person/$5,000 per couple)* Yes, I/we will be attending the December 7th Dinner. Enclosed is my contribution of $ ________ ($1,000 per person). No, I am unable attend, but enclosed is a contribution of $_______________.
*** Couples who give the maximum of $5,000 for the Dinner will be included in the Photo Reception.

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 Expiration Date__________________________ Employer_____________________________________ Joint Contributor Employer_______________________

Account Number________________________________________

Name on Card____________________________________________________________________________________ Signature_________________________________________________________________________________________ Mail to: Romney for President, Inc. c/o Kristin Hueter 2000 Powell Street, Suite 1250, Emeryville, CA 94608 Fundraiser ID: Source Code: ECA028

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.