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Designation of Contribution

Delta Phi Epsilon Foundation for Foreign Service Education

Georgetown Court, 3222 N Street NW, Washington, DC 20007

Name:Line:

1. Designate how your contribution will be used

Scholarships

Awards

House

2. Designate the amount and manner of payment

Amount: $

Contributions from individual retirement accounts can qualify to satisfy required minimum distributions.

3. Confirm your email address or provide a residential mailing address for IRS documentation of your donation

Email:Residence:

Please return this form with your contribution to Georgetown Court, 3222 N Street NW, Washington, DC 20007. Make checks payable to Delta Phi Epsilon Foundation for Foreign Service Education.

The Foundation is a 501(c)(3) tax-exempt organization (EIN 52-1351011). Contributions are generally tax deductible as an itemized deduction within applicable individual limitations.