Planned Gift Intention Form
Name
Name
*
First
Last
Additional Name (Optional)
Additional Name (Optional)
First
Last
Email
*
Phone (Optional)
Phone (Optional)
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I/we have made a provision to leave a legacy to William Carey University through my/our:
I/we have made a provision to leave a legacy to William Carey University through my/our:
Will
Trust
Life Insurance
Retirement Plan Assets
Charitable Gift Annuity
Other
Approximate Gift Value:
Approximate Gift Value:
$1,000-$9,999
$10,000-$29,999
$30,000-$99,999
$100,000-$249,999
$250,000-$499,999
$500,000-$999,999
$1,000,000-$1,999,999
$2,000,000-$2,999,999
$3,000,000 or greater
Please use my gift for the following purpose(s):
Please use my gift for the following purpose(s):
William Carey University's Greatest Needs (unrestricted)
Specific purpose or fund (contact the Office of Advancement at 601-318-6231 or give@wmcarey.edu)
Legacy Society listing (please check one):
Legacy Society listing (please check one):
Please include my (and, if applicable, my spouse's) name in Legacy Society listings. Neither amount nor designation, if provided, will be included on the listing.
I am honored to be included in your society; however, I prefer to remain anonymous. Please do not include my/our name in your society listings.
By signing this member profile, I reaffirm my commitment to the William Carey University. However, this letter shall not be binding upon my estate, and the information contained herein shall be used for William Carey University purposes only.
*
Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.
Date Signed
Date Signed
*
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MM
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DD
YYYY
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