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
Type of Gift
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
We would like to recognize you as a member of The Eternal Impact Circle and thank you in advance for making this gift.
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