Docstoc

GOVERNOR MITT ROMNEY.pdf

Document Sample
GOVERNOR MITT ROMNEY.pdf Powered By Docstoc
					                                                    EVENT CO-CHAIRS
    IRA AKSELRAD                              GARY GLADSTEIN                             HON. JOHN F. LEHMAN                             ALEX ROBERTSON
     JEFF ALTMAN                               LANCE GRABER                                   PETER LEIDEL                                   ERIC ROSEN
 PAUL ANNUNZIATO                               MARK GRAHAM                                   RANDY LEVINE                                    PHIL ROSEN
  MICHAEL ASHNER                                 DAVID GRAY                                    LEORA LEVY                                    STEVE ROSS
   GENE ATKINSON                              MITCHELL GREEN                                FRANK LORENZO                                   MARC ROWAN
    ROBERT BAZYK                                JOHN GRIFFIN                                BILL MANGER, JR.                              ERIC RUTKOSKE
 RICHARD BREEDEN                                 JOSH HARRIS                               GEORGE MATTSON                                MICHAEL SANTINI
   MIKE BROMBERG                               BILL HARRISON                                   BOB MATZA                                   JOHN SARGENT
   BEVERLY BRUCE                              PATRICK HASKELL                             JAMES MCCUMMINGS                               MUNEER SATTER
    GREG BUTLER                             CHRISTOPHER HEINTZ                              AUDREY MCNIFF                              ANTHONY SCARAMUCCI
    RAY CALDIERO                                 EMIL HENRY                                MATTHEW MELLON                               HOWARD SCHILLER
     ED CAMPANA                                 BILL HEYMAN                                THOMAS MERCEIN                                JOE SCHMUCKLER
 STEVEN J. CARLSON                             MATT HIGGINS                              MUFFY & DONALD MILLER                              ALEX SLOANE
    MICHAEL CHAE                              JEFF HOLZSCHUH                                  TOM MULROY                               CHRISTOPHER STADLER
   BEN CHRNELICH                             RICHARD HUROWITZ                                 ALEX NAVAB                               HON. CRAIG STAPLETON
   ADAM M. COHEN                                RALPH ISHAM                                DAVID NEELEMAN                               BARRY STERNLICHT
    JOSH CONNOR                                  JEFFREY JAY                                    TOM NEFF                               ALISA & JOSH SWIDLER
   RICHARD COONS                              MCLLOYD JENSEN                                 DAVID NOBLE                                    RALPH TAWIL
   HENRY DRUKER                            HON. BRENDA JOHNSON                                 TOM NOLAN                                 EDMUND TAYLOR
      TED DUFF                                WOODY JOHNSON                              JACQUES C. NORDEMAN                                 ALLAN TEH
   PATRICK DURKIN                              MARK JUNEWICZ                                CHRIS OBERBECK                                  LANCE TOLER
   LEW EISENBERG                              AARON KENNON                                  PETER ORTHWEIN                               W. JAMES TOZER
  JOHN EYDENBERG                              STEVE KETCHUM                                     ZACK PACK                                 PETER TRAVERS
   PETER EZERSKY                                 YOO JIN KIM                                NICHOLAS PAPPAS                               BARRY VOLPERT
   GEOFFREY FINK                           GINNY & DAVID KNOTT                                 JIM PARSONS                                JOHN WALDRON
JOANNE FIRSTENBERG                             BILL KOURAKOS                                 JOHN PAULSON                                    KIM WALIN
  HON. TOM FOLEY                              TAYLOR KUSHNER                                STEVEN PIERSON                                  MIKE WHITE
    IKE S. FRANCO                                CURTIS LANE                             E. MILES PRENTICE, III                        HON. JOHN WHITEHEAD
   LOUIS FRIEDMAN                               A. ALEX LARI                                 JACK PRESTON                                JON WINKELRIED
  HON. BRUCE GELB                              BILL LAVERACK                                REINIER PRIJTEN                                  STEVE ZIDE
   SANDER GERBER                              LARRY LAWRENCE                                 PHILIP RICHTER                                 BILL ZIEGLER

                            CORDIALLY INVITE YOU TO A RECEPTION WITH

                     GOVERNOR MITT ROMNEY
                                           HOUSE           AT ESSEX
                      160 CENTRAL PARK SOUTH  GRAND BALLROOM
                                      (BETWEEN SIXTH & SEVENTH AVENUES)
                                             TUESDAY, SEPTEMBER 27, 2011
              PRIVATE VIP RECEPTION AT 8:00 AM - $2,500 PER PERSON/$5,000 PER COUPLE
                GENERAL RECEPTION AT 8:30 AM - $500 PER PERSON/$1,000 PER COUPLE
                  YOUNG PROFESSIONALS (35 YEARS OLD OR UNDER) - $100 PER PERSON
                   Kindly RSVP to Fifi Knott  FKnott@MittRomney.com  212-801-1064
                                                                                1




                               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
Reception  Tuesday, September 27 2011
REPLY INFO
 Yes, I will be attending the September 27th Private VIP Reception. Enclosed is my contribution of $ _____________ ($2,500 per
person/$5,000 per couple).
 Yes, I will be attending the September 27th General Reception. Enclosed is my contribution of $ _____________ ($500 per person,
$1,000 per couple).
 Yes, I will be attending the September 27th General Reception as a Young Professional. Enclosed is my contribution of $
_____________ ($100 per person).
 No, I am unable attend, but enclosed is a contribution of $_____________.
                                    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__________________________________________                          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 for President, Inc.
                       c/o Fifi Knott  190 Elizabeth Street, Apt. 6R  New York, NY 10012
             Or Fax: 212-298-8339; or Scan/Email to: fknott@mittromney.com
              Or Contribute Online Via Secure Site: https://mittromney.com/donate/#fid=&sc=ENY026
                                                                                                                 Fundraiser ID: _____________
                                                                                                                  Source Code: ___ENY026___
 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

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:72
posted:7/16/2012
language:
pages:2
censhunay censhunay http://
About