Susan Crown and William Kunkler

Event Chairs
Together with:

Robert H. Asher John Canning Ty Fahner David Hoese Tim Larsen Richard Porter John Rowe Scott Serota Miles White

Congresswoman Judy Biggert Mayor Roger Claar Michael Ferro Richard Jaffee Robert McCormack Stephen Quazzo Treasurer Dan Rutherford William Strong
(AS OF 10-8-11)

Charlie Bobrinskoy Dan Dumezich Matt Gambs Fred Krehbiel Andy McKenna, Jr. J. Christopher Reyes Muneer Satter Alexander Stuart

CORDIALLY INVITE YOU TO A RECEPTION WITH

GOVERNOR MITT ROMNEY

Thursday, October 27, 2011 5:30 p.m. to 7:30 p.m. The Ivy Room at Tree Studios
12 East Ohio, Chicago, IL 60611
$25,000 $10,000 $2,500 $1,000 $100 Event Co-Chairman Commit to Raise Event Host Commit to Raise Individual with Photo-Opportunity Individual Attendee Young Professional Attendee (must be Under 30)

KINDLY RSVP TO LISA WAGNER AT (630)752-9661 OR LISA@LWCOINC.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. 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. c/o Lisa Wagner and Company, PO Box 446, Batavia, IL 60510 P: 630.752.9661 or F: 630.752.9679

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

Reception Thursday, October 27, 2011

REPLY INFO Yes, I will serve as an Event Chairman and commit to raising $25,000, which includes a private dinner for two persons with Governor Romney immediately following the general reception, participation in VIP reception with photo-opportunity for two persons plus the general reception. The private dinner will be graciously hosted by Susan Crown & William Kunkler at their residence. Yes, I will serve as an Event Host and commit to raising $10,000, which includes a private dinner for one person with Governor Romney immediately following the general reception, participation in VIP reception with photo-opportunity for two persons plus the general reception. Yes, I will be attending the VIP reception with photo-opportunity for two persons plus the general reception. Enclosed is my contribution of $2,500 Yes, I will be attending the October 27 General Reception. Enclosed is my contribution of $ ___________ $1,000 per person. Yes, I will be attending the October 27 General Reception. I am under 30 years of age. Enclosed is my contribution of $ ___________ $100 per person. Yes, I will be attending the October 27 General Reception. I have previously given the maximum amount. No, I will be unable to attend. I have enclosed the generous contribution of $______________ in support of your efforts and Governor Romney. Name_________________________________________________________________________ Address_______________________________________________________________________ City_______________________________ Home Phone_______________________ ________________ ________________

_____State______________________Zip______________________ _____________ Work Phone________ ________________________ ________________________________

E-mail______________________________________________________

CONTRIBUTOR INFO: Please make your check payable to: Romney for President Committee, Inc. 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. Visa MasterCard AMEX Discover Employer______________________________________ Joint Contributor Employer_______________________

Account Number________________________________________

Expiration Date__________________________

Name on Card____________________________________________________________________________________ Signature_________________________________________________________________________________________ Mail to: Romney for President Committee, Inc. c/o Lisa Wagner and Company, Inc. PO Box 446, Batavia, IL 60510 or Fax 630.752.9679 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.

Romney for President Committee, Inc. www.MittRomney.com

Fundraiser ID: 768005 Rutherford Source Code: EIL003

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