Support Maryland / Gift Information

1: CATHERINE M. KELLEHER FELLOWSHIP FUND FOR INTERNATIONAL SECURITY STUDIES

Is this a joint gift with your spouse/partner?

Name*

Is this a payment towards an existing pledge?

Is this gift in memory, in honor, or on behalf of someone?

In Memory of In Honor of Choose this option to honor your family and friends on special occasions such as graduations, retirement, birthdays, anniversaries, etc. On behalf of Choose this option if you are making a gift on behalf of another individual (i.e., using a corporate card or paying a pledge for another individual).

Name*

Address

Would you like to make this gift a recurring gift? [Only one recurring gift per transaction is allowed]

Frequency*

Number of Payments*

2: ASSOCIATE DEAN'S DISCRETIONARY FUND

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Is this a joint gift with your spouse/partner?

Name*

Is this a payment towards an existing pledge?

Is this gift in memory, in honor, or on behalf of someone?

Name*

Address

Would you like to make this gift a recurring gift? [Only one recurring gift per transaction is allowed]

Frequency*

Number of Payments*

3: PUBLIC HEALTH BEYOND BORDERS

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Is this a joint gift with your spouse/partner?

Name*

Is this a payment towards an existing pledge?

Is this gift in memory, in honor, or on behalf of someone?

Name*

Address

Would you like to make this gift a recurring gift? [Only one recurring gift per transaction is allowed]

Frequency*

Number of Payments*

4: SCHOOL OF PUBLIC HEALTH STUDENT EMERGENCY SCHOLARSHIP

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Is this a joint gift with your spouse/partner?

Name*

Is this a payment towards an existing pledge?

Is this gift in memory, in honor, or on behalf of someone?

Name*

Address

Would you like to make this gift a recurring gift? [Only one recurring gift per transaction is allowed]

Frequency*

Number of Payments*