Summary: Division of Student Affairs Gift Form
Garden of Reflection and Rememberance
1 Donor Information
2 Student Affairs Gift Fund Options
3 Payment Options
4 Multi-Year Pledge
Mailing Preference: Home Business
Name(s):__________________________________________________Organization:_________________________________________
Home Address:_________________________________________________________________________________________________
City:______________________________________________________ State:_________________ Zip Code:__________________
Telephone:___________________________ E-Mail:___________________________________________________________________
Business Address:_______________________________________________________________________________________________
City:______________________________________________________ State:_________________ Zip Code:________________ __
Telephone:___________________________ E-Mail:___________________________________________________________________
8400 Baltimore Ave., Suite 200
College Park, MD 2074
301-314-7918 TEL
301-314-0222 FAX
www.StudentAffairsGiving.umd.edu
Garden of Reflection and Rememberance_____________________________________ Amount $_______________

Source: Anisimov, Mikhail - Institute for Physical Science and Technology & Department of Chemical Engineering and Biomolecular Engineering, University of Maryland at College Park
Milchberg, Howard - Institute for Physical Science and Technology & Department of Physics, University of Maryland at College Park

Collections: Materials Science; Physics; Plasma Physics and Fusion