|
As a gift to University of Maryland University
College and without receipt of value, the undersigned
do/does hereby sell, assign, and transfer unto The University
of Maryland Foundation, Inc., Adelphi, Maryland,
(
) shares of
standing in his/her/their name on the books of said company represented
by certificate number(s)
herewith,
and do/does hereby irrevocably constitute and appoint *
attorney to transfer the stock on the books of the named company
with the full power and substitution in the premises.
| | Date:___________________ | Signature:_____________________
(exactly as it appears on certificate) |
* Name of attorney will be completed by The University of Maryland
Foundation
Please return stock power form and certificate(s)
in separate envelopes to:
University of Maryland University College
Office of Institutional Advancement
3501 University Boulevard East
Adelphi, MD 20783 | 
