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LOBSTER INSTITUTE

Yes, I/We would like to be a Friend of the Lobster Institute

[ ] Enclosed is my gift* of $_________     (checks payable to University of Maine Foundation)
[ ] Please charge my gift of $__________to my VISA/MC

Acct. #______________________________________ Exp. Date_________________________

______________________________________________________________________________
Signature  

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Name(s):______________________________________________________________________
Address:______________________________________________________________________
Home Phone: __________________________     Work Phone:___________________________
Job Title: ____________________________________________________________________
Work Address: ________________________________________________________________

[ ] My employer provides a Matching Gift –forms will be sent under separate cover.

Please send information on including the Lobster Institute in:
[ ]  my will         [ ]  my planned giving

*  Gifts are tax deductible to the extent allowed by law.  Please consult your tax advisor for further information.

[ ]  I wish to waive all benefits associated with my gift in order to reduce costs for the Lobster Institute and to ensure full IRS tax credit for my gift.  
[ ]  I am a graduate of the UMaine, Class of ______.     Gifts from alumni will be counted in the totals for the Annual Alumni Fund campaign in   progress on the date of the gift.  You may designate all or a portion of future Annual Alumni Fund gifts to the Lobster Institute.

Mail to:  Friends of the Lobster Institute
               University of Maine Foundation
               Buchanan Alumni House
               University of Maine
               Orono, ME  04469