Legacy Gift Notification Form
(All information you share is kept confidential and is not legally binding.)
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
About Your Gift
*
I have included the Monroe County YMCA in my will.
I have included the Monroe County YMCA in my living trust.
I have named the Monroe County YMCA as a beneficiary of my retirement account, life insurance policy, or other asset.
I am considering including the Y in my plans and would like more information.
Recognition Preferences
*
Please include me/us as members of the Heritage Club (you may list my/our name as:
I/we prefer to remain anonymous.
Name to be Recognized
First Name
Last Name
Gift Purpose (Optional)
Wherever the need is greatest
Endowment Support
Youth Programs
Aquatics / Facilities
Y for All Scholarship Fund
Optional Details
(Sharing these details helps us ensure your wishes are fulfilled. This information is not legally binding.)
Estimated gift type or value (optional):
Name of your financial advisor or attorney (optional):
Signature (optional)
Submit
Should be Empty: