BEVERLY BRUCE
SEAN MAHONEY
PAUL MCKEON
RENEE PLUMMER
CHRIS SUNUNU
GOV. JOHN SUNUNU
CHRISTOPHER WOLFE
YOU ARE CORDIALLY INVITED TO A LUNCHEON WITH
TAGG ROMNEY
ON BEHALF OF
GOVERNOR MITT ROMNEY
AND THE REPUBLICAN TEAM
TUESDAY, OCTOBER 23, 2012
AT THE
THE ONE HUNDRED CLUB
100 MARKET STREET
PORTSMOUTH, NEW HAMPSHIRE
LUNCHEON – 12:45 PM
CONTRIBUTE $2,500 PER PERSON
GENERAL RECEPTION – 1:30 PM
CONTRIBUTE $1,000 PER PERSON
FOUNDING MEMBER OF ROMNEY VICTORY – DONATE $50,000 PER PERSON
KINDLY RSVP TO CHUCK ROBERTS
AT [email protected] OR (857) 288-3834
Romney Victory, Inc.
c/o Chuck Roberts
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 composed
of 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 Republican
National 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.
Luncheon – Tuesday, October 23, 2012
REPLY INFO
 Yes, I will attend the Luncheon and the General Reception, and contribute $2,500.
Enclosed is my contribution of $ _________ ($2,500 per person).
 Yes, I will attend the General Reception. Enclosed is my contribution of $ _________ ($1,000 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
 Discover
Account Number___________________________________________ Expiration Date___________________________
Name on Card____________________________Signature____________________________________________________
Mail to: Romney Victory, Inc.
c/o Chuck Roberts  Post Office Box 149757 Boston, MA 02114-9757
Or Scan/Email to: [email protected]
Or Contribute Online Via Secure Site: https://secure.mittromney.com/donate/victory/?sc=ENH006
Fundraiser ID: ________________ Source (or Event) Code: __ENH006__
Proceeds to RV shall be allocated by the following formula:
1) Individuals and non-multicandidate PACs - The first $2,500 will go to RFP’s general account. Prior to August 31, 2012, the next
$2,500 will go to RFP’s primary account. Beginning on August 31, 2012, should Romney for President have primary debt, that next $2,500
will go to RFP’s 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 the Republican 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 RFP’s general account. Prior to August 31, 2012, the next $5,000 will go to
RFP’s primary account. Beginning on August 31, 2012, should Romney for President have primary debt, that next $5,000 will go to RFP’s
primary debt retirement account. 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 RFP’s primary account receives sufficient funds to retire its outstanding primary debt or 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 Leadership Council, the Vermont
Republican Federal Election Committee, the National Republican Senatorial Committee, and the National Republican Congressional
Committee.