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Email for Life

The University of Maryland School of Medicine and the University of Maryland Fund for Medicine are pleased to provide Email for Life to our alumni! Email for Life means a lifetime of connections and information through the University of Maryland School of Medicine and the University of Maryland Fund for Medicine.

By reserving your personal Email for Life account, you will be able to maintain a permanent email address no matter how often you relocate or change email providers.

You will also be able to proudly showcase your alumni connection to the University of Maryland School of Medicine and support of the University of Maryland Fund for Medicine.

Please complete the online form below. We will verify your alumni status and activate your personal Email for Life account as soon as possible.

Account Information

Title:
 
  
Full Name:
 
  
Class Year:
 
  
Home Address:
 
  
City:
 
  
State:
 
  
Zip Code: 
(5 digits)
 
   (00000 for international) 
Home Phone Number:
 
  
Use home as primary
contact address:  
  

 

 
Business Address:
 

  
  

City:
 
  
State:
 
  
Zip Code: 
(5 digits)
 
   (00000 for international) 
Business Phone Number:
 
  
   
Use business as your primary
contact address:
 
 
  
 

 

Alternate Address:
(seasonal, etc.)
 

  
  
City:
 
  
State:
 
  
Zip Code:
(5 digits)
 
  
Alternate Phone Number:
 
  
Use alternate as your primary
contact address:
 
 
  
 

 
Preferred Email Address:
 
  
Practice Specialty:
 
  
Spouse's Name:
(optional)
 
  
Fax Number:
(optional)