Planned Gift Intention

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Name:*

Spouse Name:*

Address*

Street Address City State ZIP Code

Phone*

Email*

Estate Contact Name:*

Contact Phone:*

Contact Email:*

I/We

[print name(s)]*

want to support the mission of Funding Arts Network through a planned gift as described below:

Gift Intention*

I/We have included a bequest for fifty over fifty, inc. d/b/a Funding Arts Network in my/our will or living trust.

I/We have included fifty over fifty, inc. d/b/a Funding Arts Network beneficiary of a charitable remainder trust.

I/We have included fifty over fifty, inc. d/b/a Funding Arts Network as the beneficiary of the following asset.

Asset Name:*

Please indicate if and how you would like your name(s) to appear in our Legacy Donor listing.

Gift Acknowledgement*

Yes, you may include me/us in the listing of planned gift donors

No, please do not include me/us in listings of planned gift donors.

Please list my name as follows:*

Name*

Date*

Name

Date