High Jump Planned Giving Pledge Form
Thank you for making a lasting commitment and providing a legacy of support to High Jump as a Future Scholar! Today and for the years to come, you are making it possible for us to continue to empower our scholars with the right resources at the right time to thrive in high school, college, and beyond.

If you have any questions while filling out this pledge form, please contact Jill Reid at (312) 582-7716 or jreid@highjumpchicago.org
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Email *
Your Name *
It is our intent to leave a planned gift to High Jump through the following: *
Required
We wish to inform High Jump for long-term purposes only that, as of this date, the value of our gift is approximately: *
(If gift is a percentage of your estate, please indicate the approximate value of that percentage.)

We understand that, by stating an amount, our estates are not legally bound by this statement and we may choose to add, subtract, or revoke this bequest at any time, at our sole direction.

High Jump kindly requests notification any time you make changes or adjustments to your gift.
We agree to have our names/listing published in materials related to the High Jump Planned Giving society as motivation for others to join the Planned Giving society with gifts to benefit High Jump. *
Note: The amount and method of your gift will not be published and remains confidential.
Name/Listing as you'd like to be recognized *
Your Address  *
Please include your street address, city, state, and zip
Your Phone #
E-Signature *
Please enter your full name below to serve as your e-signature for your planned giving pledge.
Date of Birth *
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Today's Date *
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A copy of your responses will be emailed to the address you provided.
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