June 3, 2009

Lori Dec
Scholarship Director
American Foreign Service Association
2101 E. Street, N.W.
Washington, DC20037
202-944-5504 or 1-800-704-2372 Ext. 504
202-338-6820 - fax
dec@afsa.org - email

Dear Ms. Dec,

I would like to contribute to the AFSA Scholarship Fund in the memory of Martin G. Patterson. Please find the enclosed check made out to the ‘AFSA Scholarship Fund’ or my credit card information below. The letter acknowledging my donation may be sent to the following address:

Name:

Address:

City

State

Zip Code:

Payment Information

Payment Type

¨VISA ¨MasterCard Amount: $__________

Name on Card

Credit Card Number

Expiration Date

Month: Year:

Signature: ________________________________________

Date:

___________

Thank you.