CLUMC Foundation Legacy Gift Information

Join the Eternal Impact Circle with a Legacy Gift
Donor Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Second Donor Name (if joint/family gift)

First NameLast Name
Will or TrustLife InsuranceCharitable Gift AnnuityIRA, Retirement Plan, or Investment Account Beneficiary
For Foundation Planning Purposes, the current value of my/our gift as of this date is
(Optional)
Family Member, Trustee, or Executor Information
First and Last Name*

First NameLast Name
Family Member, Trustee or Executor Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Family Member, Trustee or Executor Email Address*
example@example.com
Relationship to Donor*
Eternal Impact Circle Recognition
I am happy to be listed in Foundation PublicationsI/we wish our gift to be anonymous.
Note: This declaration of a legacy gift is not a binding commitment, and you retain the right to change or revoke this gift at any time without notice to the CLUMC Foundation.
Should be Empty:

Join the Eternal Impact Circle with a Legacy Gift