A Legacy Gift
As evidence of my/our desire to provide a legacy support to Hope Chest, I/we are pleased to inform Hope Chest that I/we have made a provision for a gift to the Hope Chest for Breast Cancer Foundation in my/our estate plan. I/we understand that this commitment is revocable and can be modified or cancelled by me/us at any time.
Sign in to Google to save your progress. Learn more
Your Gift: It is my/our intent to leave a legacy to Hope Chest through my/our:
Clear selection
I/we wish to inform Hope Chest, for long-term planning purposes only, that as of this date, the value of my/our gifts is: I/we understand that by stating an amount, my/our estate is not legally bound by this document, and I/we may choose to add, subtract, or revoke this bequest at any time, entirely at my/our discretion. $____________________________________________
Hope Chests policy is to designate planned gifts to the area of greatest need unless you designation your gift to a specific need. Please indicate your interest here:
Please fill in your information below
Name:
Birthdate:
MM
/
DD
/
YYYY
Address:
City/State/Zip:
Recognizing your generosity:
Donor Signature:
Date:
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy