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Gift Annuities Form

Gift Annuities

I would like to see a personal illustration of how a Charitable Gift Annuity might benefit me. Please prepare my illustration based on the information checked below:

Amount of gift annuity


$10,000

$25,000

$50,000

Other Amount $

One Life Annuity

My birthday is:

Two Life Annuity

My birthday is:
Other person's:

Personal Information

Name:
Address:
City:
State:
Zip:
Phone:
Email: