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Is Your Donation on Behalf of Another?
Don’t forget that you can also donate in honor or in memory of a loved one, or even give a gift membership.

Please recognize this gift   In Honor of: In Memory of:  

This gift is made in honor of:

Name:
Address:
City:
State:	American Embassy American Embassy Alaska Alabama Armed Forces Arkansas American Samoa Arizona California Northern Mariana Is. Colorado Connecticut D.C. Delaware Florida Micronesia Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Marshall Islands Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Palau Rhode Island South Carolina South Dakota Tennessee Trust Territories Texas Utah Virginia Virgin Islands Vermont Washington Wisconsin West Virginia Wyoming
Postal Code:

Acknowledge me/us in the letter as: