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  1. University of Arkansas for Medical Sciences
  2. Institutional Advancement
  3. 1879 Society Member Form

1879 Society Member Form

The 1879 Society’s mission is to recognize all individuals who have committed to transforming the future of medicine with a bequest to UAMS.  If you have remembered UAMS with a bequest in your will, trust, life insurance, retirement plan, or any other method, it would be our privilege to welcome you to this society.  There will be a special ceremony hosted by our chancellor recognizing all members of the 1879 Society.  You can join by filling out the form below or by contacting Tim Dockery or any member of the Advancement Team.

We are so grateful to have another philanthropist joining us in our work to transform the future of medicine.

I have made provision for a gift of a portion of my estate, living trust, charitable trust, foundation, insurance policy or retirement fund to The University of Arkansas Foundation, Inc. benefiting the University of Arkansas for Medical Sciences.

Name(Required)
Email(Required)
Date of Birth
This is only an estimate of a revocable gift. Any amount ultimately received may be more or less than this amount.
Max. file size: 15 MB.
MM slash DD slash YYYY
Please list my name as an 1879 Society member.
I would prefer to join the 1879 Society as an anonymous member.
UAMS Institutional Advancement LogoUAMS Institutional AdvancementUAMS Institutional Advancement
Mailing Address: 4301 West Markaham St #716, Little Rock, AR 72205
Phone: (501) 686-8200

Email: advancement@uams.edu

Tax ID: 71-6056674

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