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All Auth Forms Received to date June 21 2012

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Completed and signed Auth Forms submitted to VFR

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www.vetsforromney.com

AUTHORIZATION FORM FOR USE OF YOUR NAME FOR MITT ROMNEY FOR PRESIDENT

VETERANS COALITION

Title/Name: ___Art O’Hagan__ ____________________________________ Branch/Status: __Army__________________________________________ Final Rank: __E-4 __________________________________________ Appointment: ____________________________________________ Address: __4448 E. Fairfield St.__________________________________________ City/State/Zip _Mesa, AZ. 85205_______________________, _____, _______ - _____ Phone/Email: 480-203-2926 [email protected]_____________________ - ______________________ I hereby authorize the Mitt Romney for President Campaign or Veterans for Romney to conduct a basic background check and to use my name as an official endorsement for public release. Signature: _____Art O’Hagan________________________________________ Return to Rob Hartwell at [email protected] or 6705 Springfield Drive, Lorton, VA 22079. Call 571-212-2129 with any questions.

www.vetsforromney.com

AUTHORIZATION FORM FOR USE OF YOUR NAME FOR MITT ROMNEY FOR PRESIDENT

VETERANS COALITION

Title/Name: Honorable Richard M. Romley Branch/Status: USMC Final Rank: E-4 Appointment: Arizona State Chair of Vets for Romney Address: 10267 E. Gold Dust Avenue City/State/Zip Scottsdale, Az., 85258 Phone/Email: 480-773-3419 / [email protected] I hereby authorize the Mitt Romney for President Campaign or Veterans for Romney to conduct a basic background check and to use my name as an official endorsement for public release. Signature: Richard M. Romley Return to Rob Hartwell at [email protected] or 6705 Springfield Drive, Lorton, VA 22079. Call 571-212-2129 with any questions. For more information about Mitt Romney, go to WWW.MittRomney.com or www.VetsforRomney.com.

www.vetsforromney.com

AUTHORIZATION FORM FOR USE OF YOUR NAME FOR MITT ROMNEY FOR PRESIDENT

VETERANS COALITION

Title/Name: Mr. Scott Searles___________________________ Branch/Status: USNR / Reserve_______________________________ Final Rank: LCDR / 0-4____________________________________ Appointment: ROTC________________________________________ Address: 8678 Arrowwood Dr. ___________________________ City/State/Zip Mason___________________, __OH_, 45040__- _____ Phone/Email: 513-560-9517____________ - [email protected]_ I hereby authorize the Mitt Romney for President Campaign or Veterans for Romney to conduct a basic background check and to use my name as an official endorsement for public release. Signature: __/s/___________________________________________ Return to Rob Hartwell at [email protected] or 6705 Springfield Drive, Lorton, VA 22079. Call 571-212-2129 with any questions. For more information about Mitt Romney, go to WWW.MittRomney.com or www.VetsforRomney.com.

www.vetsforromney.com

AUTHORIZATION FORM FOR USE OF YOUR NAME FOR MITT ROMNEY FOR PRESIDENT

VETERANS COALITION

Title/Name: Marshall Trimble Branch/Status: US Marines Final Rank: Corporal Honorary Major, Arizona Air National Guard; Arizona Veterans Hall of Fame, Class of 2004 Appointment: Address: 8119 E. Redwing Rd. City/State/Zip Scottsdale, AZ 85250 Phone/Email: 480-423-6314 [email protected] I hereby authorize the Mitt Romney for President Campaign or Veterans for Romney to conduct a basic background check and to use my name as an official endorsement for public release. Signature:

Return to Rob Hartwell at [email protected] or 6705 Springfield Drive, Lorton, VA 22079. Call 571-212-2129 with any questions. For more information about Mitt Romney, go to WWW.MittRomney.com or www.VetsforRomney.com.

www.vetsforromney.com

AUTHORIZATION FORM FOR USE OF YOUR NAME FOR MITT ROMNEY FOR PRESIDENT

VETERANS COALITION

Title/Name: Arthur C. O’Hagan_____ ____________________________________ Branch/Status: Army ____________________________________________ Final Rank: __E-4__________________________________________ Appointment: ____________________________________________ Address: 4448 E. Fairfield St____________________________________________ City/State/Zip __Mesa______________________, __AZ___, __85205_____ - _____ Phone/Email: [email protected]____________________ - ______________________ I hereby authorize the Mitt Romney for President Campaign or Veterans for Romney to conduct a basic background check and to use my name as an official endorsement for public release. Signature: __Arthur C. O’Hagan___________________________________________ Return to Rob Hartwell at [email protected] or 6705 Springfield Drive, Lorton, VA 22079. Call 571-212-2129 with any questions.

www.vetsforromney.com

AUTHORIZATION FORM FOR USE OF YOUR NAME FOR MITT ROMNEY FOR PRESIDENT

VETERANS COALITION

Title/Name: Marshall Trimble Branch/Status: US Marines Final Rank: Corporal Honorary Major, Arizona Air National Guard; Arizona Veterans Hall of Fame, Class of 2004 Appointment: Address: 8119 E. Redwing Rd. City/State/Zip Scottsdale, AZ 85250 Phone/Email: 480-423-6314 [email protected] I hereby authorize the Mitt Romney for President Campaign or Veterans for Romney to conduct a basic background check and to use my name as an official endorsement for public release. Signature:

Return to Rob Hartwell at [email protected] or 6705 Springfield Drive, Lorton, VA 22079. Call 571-212-2129 with any questions. For more information about Mitt Romney, go to WWW.MittRomney.com or www.VetsforRomney.com.

www.vetsforromney.com

AUTHORIZATION FORM FOR USE OF YOUR NAME FOR MITT ROMNEY FOR PRESIDENT

VETERANS COALITION

Title/Name: Mr. Robert K. Rogers, Jr. Branch/Status: JAGC, USNR (Ret) Final Rank: Captain Appointment: ____________________________________________ Address: 926 Mastline Drive City/State/Zip Annapolis, MD, 21401 Phone/Email: (530) 219-1793; [email protected] I hereby authorize the Mitt Romney for President Campaign or Veterans for Romney to conduct a basic background check and to use my name as an official endorsement for public release. Signature: _____________________________________________ Robert K. Rogers, Jr. Return to Rob Hartwell at [email protected] or 6705 Springfield Drive, Lorton, VA 22079. Call 571-212-2129 with any questions. For more information about Mitt Romney, go to WWW.MittRomney.com or www.VetsforRomney.com.

www.vetsforromney.com

AUTHORIZATION FORM FOR USE OF YOUR NAME FOR MITT ROMNEY FOR PRESIDENT

VETERANS COALITION

Title/Name: Mr. Thomas W. Meaker Thom Meaker Branch/Status: United States Marine Corps Final Rank: _1st Lt. Appointment: April 15, 1968 Address: 4023 W. Elliot City/State/Zip Laveen, Arizona 85339 Phone/Email: 602-819-8763(USMC) - [email protected] [email protected] I hereby authorize the Mitt Romney for President Campaign or Veterans for Romney to conduct a basic background check and to use my name as an official endorsement for public release. Signature: Thomas W. Meaker Return to Rob Hartwell at [email protected] or 6705 Springfield Drive, Lorton, VA 22079. Call 571-212-2129 with any questions.