Legacy Giving Intention

First Name

Last Name

Street Address

City

State

Zip Code

Phone

I/We have named The Center as a beneficiary of my/our:

My/Our planned gift to The Center is:

Percentage:

Estimated Value:

Listing

Please list me/us as:

We would love to learn more about you and your connection to The Center. The remaining questions on this form are optional: Do you remember the first time you went to The Center? What brought you there?

What does it mean to you to include The Center as part of your legacy?

Has The Center helped or changed your life? Please feel free to share with us!

We may ask for your permission to include your story (and picture) in our online or print materials. Would you feel comfortable with someone from The Center contacting you to discuss your story?