Date ____________________________

Securities held by: ________________________________

Please transfer ownership of ________________________________________________________shares of

________________________________________stock from my account to Women's Institute for Freedom of the Press.

My account number at ________________________________ is ____________________________.

WIFP's account number for receipt of this gift is (contact us for this info) with Martha Allen. Ms. Allen's phone number is 202-265-6707.The Institute's Tax ID is (contact us for this info).

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Martha Leslie Allen            Date_________________________
Women's Institute for Freedom of the Press
1940 Calvert Street, NW
Washington, DC 20009

Ms. Allen:

I have instructed _________________________________ to transfer_________________________shares

of _________________________________________ to Women's Institute for Freedom of the Press as a

donation to the_____________________________fund. WIFP's account number is (contact us).

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Business Manager
Women's Institute for Freedom of the Press
1940 Calvert Street, NW
Washington, DC 20009

Business Manager:

As indicated above, I am donating __________________shares of ________________________________

to the _____________________________________________________ fund.

Signature: ________________________________________

Name: ________________________________________

Address: ________________________________________

Phone: ________________________________________

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