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GOVERNOR MITT ROMNEY - Las Vegas Sun

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PAUL ANDERSON<br />

MARC BAWDEN<br />

JAY BINGHAM<br />

TOM BREITLING<br />

HOWARD & CRISTI BULLOCH<br />

JEFF & KENNA COOPER<br />

JEREMY COOPER<br />

TIM CORY<br />

ALBERTO DE LA PAZ<br />

STEVE FELLOWS<br />

RON FUTRELL<br />

MICHAEL GARDINEER<br />

KENT GREENE<br />

JIM & JOAN HAMMER<br />

HONORABLE WARREN HARDY<br />

EVENT HOSTS<br />

WAYNE HORLACHER<br />

MARK HUTCHISON<br />

DAVE JOHNSON<br />

TODD LEANY<br />

JUSTIN MANNING<br />

JASON MENDENHALL<br />

HONORABLE MIKE MONTANDON<br />

STAN PARRY<br />

TIM POSTER<br />

PHIL RICHARDS<br />

KYLE STEPHENS<br />

KELLY THOMAS<br />

TOM THOMAS<br />

CORDIALLY INVITE YOU TO A LUNCHEON WITH<br />

<strong>GOVERNOR</strong> <strong>MITT</strong> <strong>ROMNEY</strong><br />

FRIDAY, June 17, 2011<br />

VIP PHOTO RECEPTION: 10:45AM – 11:30AM<br />

($2,500 PER PERSON / $5,000 PER COUPLE)<br />

LUNCHEON: 11:30AM – 12:30PM<br />

($1,000 PER PERSON)<br />

AT<br />

Lawry’s The Prime Rib<br />

4043 Howard Hughes Parkway � <strong>Las</strong> <strong>Vegas</strong>, NV 89169<br />

KINDLY RSVP TO TARA CHRISTENSEN AT<br />

(702) 326-3665 CORY@N-GAGESOLUTIONS.COM<br />

Contributions are not tax deductible as charitable contributions for federal income tax purposes.<br />

By law, the maximum amount an individual may contribute is $2,500 ($5,000 per couple) per election.<br />

Federal multi-candidate PACs may contribute $5,000 per election. Contributions by corporations, foreign nationals (non-green card<br />

holders), labor unions, federal government contractors, and minors under the age of 18 are prohibited.<br />

Romney for President, Inc.<br />

Post Office Box 149756<br />

Boston, MA 02114-9756<br />

Romney for President, Inc.<br />

www.MittRomney.com


Reception/Luncheon � Friday, June 17, 2011<br />

REPLY INFO<br />

� Yes, I will be attending the June 17th photo reception. Enclosed is my contribution of $ ________ ($2,500 per person/$5,000 per couple)<br />

� Yes, I will be attending the June 17th luncheon. Enclosed is my contribution of $ ________ ($1,000 per person).<br />

� No, I am unable attend, but enclosed is a contribution of $_______________.<br />

Please make your check payable to: Romney for President, Inc.<br />

Name_________________________________________________________________________________________<br />

Address_______________________________________________________________________________________<br />

City____________________________________State______________________Zip__________________________<br />

Home Phone____________________________________ Work Phone___________________________________<br />

E-mail_________________________________________________________________________________________<br />

CONTRIBUTOR INFO<br />

This contribution is made by check or credit card from my personal funds and is not drawn on an account maintained by an incorporated<br />

entity. I am a U.S. citizen or permanent resident and this contribution will not be reimbursed by another person.<br />

Signature_______________________________________________________________________<br />

By law, the maximum amount an individual may contribute is $2,500 ($5,000 per couple) per election. For a contribution from a joint<br />

account to be attributed to two individuals, both must sign this form, indicating agreement with the above statement.<br />

Joint Contributor Signature_________________________________________________________<br />

Federal law requires us to obtain and report the name, mailing address, occupation and name of employer for each individual whose<br />

contributions aggregate in excess of $200 per election cycle. Please complete the following:<br />

Occupation__________________________________________ Employer_____________________________________<br />

Joint Contributor Occupation___________________________ Joint Contributor Employer_______________________<br />

CREDIT CARD REPLY<br />

Please charge my contribution of $___________ to my credit card.<br />

� Visa � MasterCard � AMEX � Discover<br />

Account Number________________________________________ Expiration Date__________________________<br />

Name on Card____________________________________________________________________________________<br />

Signature_________________________________________________________________________________________<br />

Mail to: Romney for President, Inc.<br />

c/o Cory Christensen � 3670 West Quail, <strong>Las</strong> <strong>Vegas</strong>, NV 89118<br />

Fundraiser ID: _________________<br />

Source Code: ENV001<br />

Contributions are not tax deductible as charitable contributions for federal income tax purposes. Contributions by corporations, foreign<br />

nationals (non-green card holders), labor unions, federal government contractors, and minors under the age of 18 are prohibited.<br />

Romney for President, Inc.<br />

www.MittRomney.com

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