Online Charter Petition

Online Charter Petition
For which club do you want to petition?
First Name
Last Name
Class Year(s)
School/College(s)














Address 1:
Address 2:
City:
State:
Zip:
Primary E-mail
Area Code:
Phone Number:
I support the formation of this club and offer my electronic signature via this webform.



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University of Maryland Alumni Association • Samuel Riggs IV Alumni Center
College Park, MD 20742-1521 • 301.405.4678 • 800.336.8627
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