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  • Women's Giving Circle Membership Form

    Please fill in the fields, select area of interest, membership tier and submit payment once submission is complete.
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  • Next Steps:
    *the examples given below are based on the minimum payment for the 'Advocate' Tier.*

    1. In order for your application to be accepted, a minimum payment of 1/4 of your total pledge due upon submission.
    2. Pledges may be paid in full or on a quarterly basis. (Ex. At the 'Advocate' tier, a second payment of $250 is due by December 31, 2021.)
    3. Final payment is due by June 30, 2022.
  • By signing below, I agree to honor my committment of the "Membership Tier" contribution selected above to join the Women's Giving Circle. This includes an initial payment of a quarter of your selected pledge to the University of Maryland Capital Region Health Foundation.

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  • By clicking the "Pay Now" button you are submiting your online application and payment. If you are not prepared to pay at this time, please click the "Save" button to save your application. Once we are in receipt of your payment, we will contact you regarding your Membership.  Thank you!

  • PLEASE REMEMBER TO SUBMIT YOUR MINIMUM MEMBERSHIP COMMITMENT.

    Checks should be made payable to UM Capital Region Health Foundation (NOTE: Women's Giving Circle) and mailed to: Attention - Tiffini Gillespie 7300 Van Dusen Rd, Laurel, MD 20707. Or, you may make an online payment at https://bit.ly/donatewgc

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  • In accordance with IRS regulations, UM Capital Region Health Foundation is a 501(c)(3) organization. For your records our EIN Number is 52-1299547. Your donation is tax-deductible in full, unless otherwise stated in this acknowledgement. Please consult your tax professional for further guidance on your donation. Please advise if you wish to opt out of future solicitations by contacting the Philanthropy office at umcapitalfoundation@umm.edu

  • 7300 Van Dusen Rd. Laurel, MD 20707 | www.umcapitalregionfoundation.org | umcapitalfoundation@umm.edu

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