Manager Nominated Spot Awards Gift Selection Form

Please complete the below information and select one gift (see descriptions below). After the form is complete (all FIELDS are REQUIRED to be filled out), please click on the submit button at the bottom.

Please allow 4-6 business days for the gift to be delivered inter-office mail. Call or email Nancy Sinasky with questions at: nancy.sinasky@umassmed.edu or 508-856-8702.

Manager Nominated Spot Awards Gift Selection Form

* Name of Recipient:
* Recipient Department:
* Recipient Inter-Office Mail Address:
* Name of Sender:
* Sender Inter-Office Mail Address:
GIFT SELECTIONS - PLEASE CHECK ONE GIFT BELOW (UMMS LOGOS WILL BE ON ALL GIFTS)
* 1) UMass Medical School Tote Umbrella
Description: 55" Collapsible, double canopy, royal blue and white with UMMS logo
* 2) UMass Medical School Throw
Description: 50" x 60" Soft fleece throw, royal blue with UMMS logo
* 3) UMass Medical School Duffel Bag
Description: 22"x10.5"x10.5" Duffel bag, royal blue and black with UMMS logo