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Your donation today supports the Jorge M. Perez and Darlene Boytell-Perez 50^th Anniversary of Nursing Scholarship Endowment.

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Donor hereby approves the payment of the donation and/or purchase to Florida International University and in the amount set forth herein.

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For purposes of the Foundation’s reporting obligations set forth in Section 1010.25, Florida Statutes, the Donor hereby certifies that it is not (i) a foreign government or an agency of a foreign government; (ii) a legal entity, governmental or otherwise, created solely under the laws of a foreign state or states; (iii) an individual who is not a citizen or a national of the United States or a territory or protectorate of the United States, or (iv) an agent, including a subsidiary or an affiliate of a foreign legal entity, acting on behalf of a foreign source.