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YOU ARE CORDIALLY INVITED TO AN EVENING RECEPTIONTO BENEFIT
ROMNEYVICTORYWITH SPECIAL GUESTVICE PRESIDENTIALCANDIDATE
PAULRYANON
FRIDAY,AUGUST 17,2012AT
THEWESTINARLINGTON801NORTH GLEBE ROAD
ARLINGTON,VA
TIMETBD
DINNER:$15,000 PER PERSONVIPPHOTORECEPTION:$1,000 PER
PERSONGENERALRECEPTION:$100 PER PERSON
FOR MORE INFORMATION, PLEASE CALL 703-299-1226 OR EMAIL
MATTHEWWELSH [email protected] ORJESS LARKIN
[email protected]
1
Romney Victory, Inc.
Post Office Box 149757
Boston, MA 02114-9757
Contributions to Romney Victory, Inc. (RV) are not tax
deductible for federal income tax purposes. RV is a joint
fundraising committee composedof Romney for President, Inc. (RFP),
the Republican National Committee (RNC), the official Republican
Parties in four states (the Idaho
Republican Party, the Massachusetts Republican Party, the
Oklahoma Leadership Council, and the Vermont Republican Federal
Election
Committee), the National Republican Senatorial Committee (NRSC),
and the National Republican Congressional Committee (NRCC).
Paid for by Romney Victory, Inc., a joint fundraising committee
authorized by and composed of Romney for President, Inc., the
RepublicanNational Committee, the Idaho Republican Party, the
Massachusetts Republican Party, the Oklahoma Leadership Council,
the Vermont
Republican Federal Election Committee, the National Republican
Senatorial Committee, and the National Republican
CongressionalCommittee.
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Evening Reception Friday, August 17, 2012REPLY INFO
Yes, I will attend the General Reception. Enclosed is my
contribution of $__________ ($100 per person). Yes, I will attend
the VIP Photo Reception. Enclosed is my contribution of $__________
($1,000 per person).
Yes, I will attend the Dinner. Enclosed is my contribution of
$__________ ($15,000 per person). No, I am unable attend, but
enclosed is a contribution of $________.
Please make your check payable to: Romney Victory, 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_______________________________________________________________________
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 collect and report the name, mailing
address, occupation, and name of employer of each contributor
whose
contributions aggregate in excess of $200 in a calendar year
(RNC and state parties) or election cycle (RFP). Please complete
the
following:
Occupation__________________________________________
Employer______________________________________
Joint Contributor Occupation___________________________ Joint
Contributor Employer_______________________
CREDIT CARD REPLY
Please charge my contribution of $___________ to my credit card.
Visa MasterCard AMEX DiscoverAccount
Number___________________________________________ Expiration
Date___________________________
Name on
Card____________________________Signature____________________________________________________
Mail to: Romney Victory, Inc.
c/o Gretchen Moss 123 N Pitt Street, Suite 500 Alexandria, VA
22314
Or Fax: 703-299-1236; or Scan/Email to:
[email protected] Contribute Online Via Secure
Site:https://secure.mittromney.com/donate/victory/?sc=EVA013&fid=4676
Fundraiser ID: _ 4676 Source (or Event) Code:
_________EVA________
Proceeds to RV shall be allocated by the following formula:
1. Individuals and non-multicandidate PACsThe first $2,500 will
go to RFPs general account. The next $2,500 will go toRFPs primary
account. The next $30,800 will go to the RNC. The remaining amount
will be split evenly among the federal
accounts of the Republican Parties of Idaho, Massachusetts,
Oklahoma, and Vermont, up to a maximum of $10,000 per
committee.
2. Multicandidate PACsThe first $5,000 will go to RFPs general
account. The next $5,000 will go to RFPs primaryaccount. The next
$15,000 will go to the RNC. The remaining amount will be split
evenly among the federal accounts of the
Republican Parties of Idaho, Massachusetts, Oklahoma, and
Vermont, up to a maximum of $5,000 per committee.
Notwithstanding this allocation formula, a contributor may
designate a contribution for a specific participant or
participants. In
addition, the allocation formula may change if any contribution
would exceed applicable contribution limits. Contributions from
corporations, labor unions, federal contractors, and foreign
nationals are prohibited. Federal law requires us to collect and
report the
name, mailing address, occupation, and name of employer of each
contributor whose contributions aggregate in excess of $200 in
a
calendar year (RNC and state parties) or election cycle
(RFP).
Paid for by Romney Victory, Inc., a joint fundraising committee
authorized by and composed of Romney for President, Inc., the
Republican National Committee, the Idaho Republican Party, the
Massachusetts Republican Party, the Oklahoma LeadershipCouncil, the
Vermont Republican Federal Election Committee, the National
Republican Senatorial Committee, and the National
Republican Congressional Committee.
