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
Type Date or Choose Calendar Selector
Full Name

First NameLast Name
Birth Date

MonthDayYear
Type 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.
WillLife Insurance PolicyCharitable Remainder TrustRevocable TrustRetirement, Savings, or Investment account beneficiaryCurrent Cash DonationOther (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 wish for our gift to remain completely anonymous.
Donor Signature*

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

MonthDayYear
Type 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
Type Date or Choose Calendar Selector
Should be Empty:

Legacy Plan Enrollment Form