FLORIDA FINANCE CO-CHAIRS

BRIAN BALLARD JAY DEMETREE

JOHN RAKOLTA JR. AMBASSADOR JOHN D. ROOD

CORDIALLY INVITE YOU TO A

LUNCH RECEPTION
WITH

GOVERNOR MITT ROMNEY

HOSTED BY

TONY TAMER
AT THE

FOUR SEASONS
MIAMI ROOM 1435 BRICKELL AVENUE v MIAMI, FLORIDA

WEDNESDAY, SEPTEMBER 21 , 2011

ST

11:30 A.M. 1:00 P.M.

SUGGESTED CONTRIBUTION TO ROMNEY FOR PRESIDENT:

$2,500 PER PERSON

PLEASE

R.S.V.P. TO MEREDITH OROURKE AT (561) 818-6064 OR MEREDITHOROURKE@YAHOO.COM OR ANNIE MOLONEY AT (561) 504-1498 OR ANNIEMARIEMOLONEY@GMAIL.COM

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. 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. 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

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.

Reception Tuesday, September 21st, 2011

REPLY INFO q Yes, I will be attending the September 21st Lunch Reception. Enclosed is my contribution of $ ___________ ($2,500 per person). q 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__________________________________________ Joint Contributor Occupation___________________________ CREDIT CARD REPLY Please charge my contribution of $___________ to my credit card. q Visa q MasterCard q AMEX q Discover Expiration Date__________________________ Employer_____________________________________ Joint Contributor Employer_______________________

Account Number________________________________________

Name on Card____________________________________________________________________________________ Signature_________________________________________________________________________________________ MAIL TO: Romney for President, Inc. c/o Meredith ORourke 201 S. Monroe St. Suite 201 Tallahassee, FL, 32301

Fundraiser ID: ______ Source Code: EFL010

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

Source: Sunlight Foundation's Party Time www.politicalpartytime.org. The Sunlight Foundation collects these invitations from anonymous lobbyist sources.