The University of Maryland
Extension -Baltimore City Fund
Donor Commitment Form
Name: _______________________________________________________________________________________
Address: ________________________________________________________________
City: _________________________________ State: ______
Phone: ________________________
Zip: ______________
Email: ___________________________________
___ I pledge to support
The University of Maryland Extension -Baltimore City Fund.
My/Our gift or pledge in the amount of $_________ is enclosed.
(Please make check payable to University of Maryland College Park Foundation or UMCPF.)
—OR—
Please bill my credit card in the amount of $_________
Card Type (circle one): Visa
MasterCard
American Express
Name: _________________________________________________________________
(As it appears on the card)
Card Number: ___________________________________________________________
Expiration Date: ____________
Security Code CVV: __________ (last 3 digits on back)
Authorized signature: ___________________________________Date: _____________
Please return this form and your donation to:
Leslie Joyce
University of Maryland
College of Agriculture and Natural Resources
1124 Symons Hall
College Park, MD 20742
Thank you for your support of the
University of Maryland Extension -Baltimore City Fund!
Gifts in support of the University of Maryland are accepted and managed by the University of
Maryland College Park Foundation, Inc., an affiliated 501(c)(3) organization authorized by the Board
of Regents. Contributions to the University of Maryland are tax deductible as allowed by law. Please
see your tax advisor for details.