Fund Raisers List Update Form Please complete the following information: Last Name: First Name: Title: Institution: BSU CSC FSU SU TU UB UMB UMBC UMBI UMCES UMCP UMES UMUC USM USM Service Center Other If other institution, please provide name: Address1: Address2: Address3: Phone: Fax: Email: : Reason: New Addition Change Name Change Title Change Address Change Phone Change Fax Change Email Change Delete Vacant