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Faculty org

____________________________________________________________________________________________________
FACULTY
ORGANIZATION
September 2008
DUES
FORM FOR THE ACADEMIC YEAR - SEPTEMBER 2008 TO 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 _________
Funded
Investigators' Group (FIG $20.00) _________________
(http://njms.umdnj.edu/faculty_org/fig.cfm)
Lunchtime
Concert Series
_________________
(http://njms.umdnj.edu/faculty_org/about.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
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