Your Legacy Gift Agreement

Moorelands Community Services / Moorelands Kids

The 1912 Canon Moore Society: Gift and Recognition Information Form

“Legacy giving is proactive philanthropy. It is thoughtful and deliberate, designed not to fix something, but to make things possible.” John Shelly, Donor, Planned Giving Chair

Gift Agreement & Recognition Form

Name *
First
Last

Name of Spouse (if applicable)
First
Last

Address
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code

Email *

Phone *

Birthdate:
Day / Month / Year

I/We intend to make/or have made the following legacy gift to Moorelands Community Services *
A bequest in my /our will(s)
A gift of life insurance
A portion of my / our retirement fund
An annuity, trust or other residual interest gift
Other

Please Specify What Form Your Gift Will Take if Other

OPTION: The Above Legacy Gift is in Honour / Memory of: (please specify)

Recognition of Your Gift:

Your Choice in Gift Recognition *
Anonymous
My / Our name(s) should appear as stated below:

Please fill in as you wish your name to appear *

Signature (s) *
Since the majority of bequests and legacy gifts are designated to needs-based financial assistance, we would like to ensure that if this is NOT your intent—we are made aware of this in advance in order to ensure that your wishes will be carried out. (By typing your name here you are acknowledging this gift agreement.)

Date *

Alternately, if there is another area that you may be interested in supporting, we would be pleased to discuss this with you and answer any questions you may have.
Comment Box

Name

Your Legacy Gift Agreement

Moorelands Community Services / Moorelands Kids

The 1912 Canon Moore Society: Gift and Recognition Information Form

“Legacy giving is proactive philanthropy. It is thoughtful and deliberate, designed not to fix something, but to make things possible.” John Shelly, Donor, Planned Giving Chair

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