Thank you for letting us know about your planned gift to Mercy! Your commitment strengthens Mercy’s mission and ensures future generations of young women will have the opportunity to grow, lead, and serve.
First Name
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Last Name
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Spouse or Partner First Name
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Spouse or Partner Last Name
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Email
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Date of Birth
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Address Line 1
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Address Line 2
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City
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State/Province
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Zip/Postal
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Country
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Type of Gift
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Bequestin Will or Living Trust
RetirementPlan or IRA Beneficiary
LifeInsurance Policy Beneficiary
Living Trust / Charitable Remainder Trust
Other
Please describe the "other" gift type.
The current estimated face value of the gift described above:
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Gift Purpose
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Unrestricted– wherever Mercy needs it most
Specific purpose
Describe gift purpose or designated fund
I/we wish to be acknowledged in the Cornerstone Legacy Society and in Mercy publications, recognizing that it may inspire others to give.
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Please include me in the Cornerstone Society
I prefer to remain anonymous
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List name(s) as you with them to appear in Cornerstone Legacy Society material
Comments or Notes (optional)
Confirmation
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I understand this form is non-binding and simply records my intent.
I confirm that the information provided in this form represents my current charitable intentions. I understand that this statement of intent is for gift planning purposes only and does not create a legal obligation for me or my estate.
Signature
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Submit
Submit
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