Business Card Order Form

Please enter your information exactly as you want it to appear on the business card. You must have approval from your supervisor before submitting this form. You will receive no proof, so please review your information carefully. Expect delivery of the cards in 3-4 weeks. Payment will be automatically deducted from your departmental FRS account. One box will be ordered unless you indicate otherwise in the comments field.

Name and Title (Dr. John Smith, John Smith Ph.D., Director of the Center, etc.)

Address (University Address, Home Address, etc.)

University of Maryland
College Park, Maryland 20742-1815

All Telephone Numbers (Please Identify as Office, Home, Fax, Mobile, etc.)

(Three phone numbers will fit only if title is two lines or less)

E-mail Address 

The Smith School Web Site will automatically appear on the card, below the e-mail address: www.rhsmith.umd.edu.

Comments: (Include special requests or questions. If you are filling out this form for someone else, please include your contact information below.)

Once you hit submit, you will be able to review your information. If you notice a problem, please click on the "Back" button of your browser and resubmit information, with comments as to the problem with the original information. Thank you!

Please type in the word you see to the right in the box below: