membership Form, Gemstone Alumni Society, Clark School of Engineering, University of Maryland

Gemstone Alumni Society Membership Form

In support of the Gemstone Program, I would like to become a charter member of the Gemstone Alumni Society.

Name:

Class Year:

Gemstone Team:

Email Address:

Phone Number:

Address:

City:

State:

Zip:

Please select your membership level:

Diamond  $1,000	Onyx  $250
Ruby  $500	Amber  $20.__ (in the amt of your graduation year)

I would like my gift to be allocated to:

General fund (will be used where ever the need is greatest)

Specific Current Team
Please indicate team:

Student Activities
Please indicate if a specific event is preferred:

Other:

I will make my gift in the following manner:

Online Check

Please click the SUBMIT button below to let us know your intentions. Then please follow the instructions below to make your gift:

Visit
https://advancement.usmd.edu/OnlineGiving/umd.html to give online. Select “Gemstone” as the Select Fund.
Mail a check to the address listed below. Make checks payable to the University of Maryland College Park Foundation.

Caitlin White, Student Activities Coordinator
0100F Ellicott Hall
University of Maryland
College Park, MD 20742
cwhite14@umd.edu

(these instructions will be repeated after you submit page.
Please print them out at that time)

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