UMD Gift Planning Advisors Membership Enrollment Form

*Name used professionally:
 First Name for name tags:
 Title/Profession:
 Certifications/Licenses:
 Tie/Affiliation with UMD:
*Email Address:
*Address:
 Apt/Ste/Flr/Bldg:
*City:
*State:
*Zip:
 Phone Number:

Are individuals your primary client base?
      

Are you familiar with planned giving and philanthropy in general?
      

Are you a member of Linked In?
      

Would you like to receive our newsletter in print or digital?
      


I would like the Office of Gift Planning to update the University records with my contact information given here.


* Required Fields

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