Unity of Olympia Legacy Giving Enrollment Form

Legacy Plan Enrollment Form

To submit your Legacy Plan Enrollment Form online, please fill out the following information. Once submitted, you will be able to download and print the completed form for your records. One will also be emailed to you. You may then return to Unity of Olympia's Legacy Giving page to fill out the donation form if applicable. Thank you.
Full Name

First NameLast Name
Birth Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType Date or Choose Calendar Selector
Full Name

First NameLast Name
Birth Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType Date or Choose Calendar Selector
Address
City, State, ZIP
Email
example@example.com
Primary phone
Format: (000) 000-0000.
Secondary phone
Format: (000) 000-0000.
I/We have provided support for Unity of Olympia's Legacy Plan via the following commitment(s):

Other (Please Describe)
I/We have provided for a planned gift of $
Please enter a dollar amount
-OR- the following % of my/our estate:
Please enter a percentage amount
In no way does this form bind you legally to any amount or agreement, and the amount remains confidential.
I/We understand that my/our financial gift entitles me/us to become members of the Legacy Plan at Unity of Olympia. This contribution will be held in a special account and used at the discretion of the Board of Trustees, in keeping with the vision, mission, and values of Unity of Olympia.
Donor Signature

Please use your mouse to draw your signature. This will represent your official signature on your Enrollment Form.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType Date or Choose Calendar Selector
Donor Signature

Please use your mouse to draw your signature. This will represent your official signature on your Enrollment Form.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType Date or Choose Calendar Selector
Should be Empty:

Legacy Plan Enrollment Form