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FACULTY ORGANIZATION September 2009
Please enter the following information so we may post your payment properly :
NAME: ___________________________________________________
DEPARTMENT : ______________________________________________
NJMS ADDRESS: _____________________________________________
(Inter-office is preferred)
_______________________________________
e-mail address: _________________________________ @ umdnj.edu
Please return this form with your payment by check or money order to the NJMS Faculty Organization . A voluntary contribution to any of the activities below will help provide additional support and will be greatly appreciated. Please follow links as listed for information about these programs and awards).
Faculty Organization Dues __$50.00 _________
Lunchtime Concert Series _________________
(njms.umdnj.edu/faculty_org/cultural_arts.cfm)
Student Summer Research Program _________________
(http:// njms.umdnj.edu/research/orsp/ssr.cfm )
Faculty Organization Outstanding Student Award _________________
( http://njms.umdnj.edu/faculty_org/about.cfm )
Faculty Lounge Renovations Fund _________________
(Little by little as funds allow – we are
updating the Faculty Lounge – MSB C-601)
Total _________________
Return to:
NJMS Faculty Organization
185 South Orange Avenue
P.O. Box 1709
MSB C-601
Newark , NJ 07101-1709