7/31/2019 Mitt Romney Atlanta fundraiser September 19, 2012

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YOU ARE CORDIALLY INVITED TO A LUNCHEON WITH

GOVERNORMITTROMNEY

WEDNESDAY,SEPTEMBER19,2012

LUNCHEON- 12:00 PM

LUNCHEON ATTENDEE($1,000 PER PERSON)

PRIVATE PHOTO RECEPTION($10,000 PER PERSON)

LUNCHEON HOST

(GIVE OR RAISE $10,000)

ATLANTA MARRIOTT MARQUIS265 Peachtree Center Avenue

Atlanta, GA 30303

KINDLYRSVP TO DABNEYHOLLIS,GEORGIA FINANCE DIRECTOR, AT (404)791-7179ORDABNEYH@ME.COM ORSTEPHANIEJONES AT (404)849-7211 ORSTEPHANIEGJONES@ME.COM

Mail RSVP:Romney Victory, Inc2902 Wyngate Dr

Atlanta, GA 30305

Contributions to Romney Victory, Inc. (RV) are not tax deductible for federal income tax purposes. RV is a joint fundraising committee composed of Romney for

President, Inc. (RFP), the Republican National Committee (RNC), the official Republican Parties in four states (the Idaho Republican Party, the MassachusettsRepublican 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 Congressional Committee.

7/31/2019 Mitt Romney Atlanta fundraiser September 19, 2012

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Wednesday, September 19, 2012

REPLY INFORMATION

! Yes, I will attend the September 19th Luncheon. Enclosed is my contribution of $ ______($1,000 per person).! Yes, I will attend the Photo Opportunity on September 19 th. Enclosed is my contribution of $ _____($10,000 per person).

! Yes, I will be a Table Host and take part in the Photo Opportunity for the September 19th Reception and commit to raise $10,000.! 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 incorporatedentity. 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 abovestatement.

Joint Contributor Signature_________________________________________________________

Federal law requires us to collect and report the name, mailing address, occupation, and name of employer of each contributor whosecontributions 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 ! Discover

Account Number___________________________________________ Expiration Date___________________________

Name on Card____________________________Signature____________________________________________________

Mail to: Romney Victory, Inc. c/o Dabney Hollis, 2902 Wyngate Drive, Atlanta, GA 30305 or fax to 770-818-1609

Fundraiser ID: Source Code: EGA018Proceeds to RV shall be allocated by the following formula:

1) Individuals and non-multicandidate PACs - The first $2,500 will go to RFPs general account. Prior to August 31, 2012, the next $2,500will go to RFPs primary account. Beginning on August 31, 2012, should Romney for President have primary debt, that next $2,500 will go to RFP

primary debt retirement account. The next $30,800 will go to the RNC. The remaining amount will be split evenly among the federal accounts of theRepublican Parties of Idaho, Massachusetts, Oklahoma, and Vermont, up to a maximum of $10,000 per committee.

2) Multicandidate PACs - The first $5,000 will go to RFPs general account. Prior to August 31, 2012, the next $5,000 will go to RFPsprimary account. Beginning on August 31, 2012, should Romney for President have primary debt, that next $5,000 will go to RFPs primary debtretirement account. The next $15,000 will go to the RNC. The remaining amount will be split evenly among the federal accounts of the RepublicanParties 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 RFPs primary account receives sufficient funds to retire its outstanding primary debt or if any contributionwould 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 contributionsaggregate 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 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.