The Burcham Hills Legacy Society — Member Profile

First Name*

Last Name

First Name (Spouse)

Last Name (Spouse)

Age

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Age (Spouse)

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Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

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The Burcham Hills Foundation may include my (and, if applicable, my spouse’s) name in the Burcham Hills Legacy Society listings. (Neither amount nor designation, if provided, will be included on the listing.)

I am honored to be included in the Burcham Hills Legacy Society; however, I prefer to remain anonymous. Please do not include my/our name in the Burcham Hills Legacy Society listings.

Please share with us, in confidence, more about your estate provision for the Burcham Hills Foundation. The following information is optional.

I have named the Burcham Hills Foundation as a beneficiary of my:

Gifts Anyone Can Make

Will or Trusts

Appreciated Securities

Life Insurance

Retirement Plans

Real Estate

Personal Property

Donor-Advised Fund

Mineral Rights

Gifts That Pay You Income

Charitable Gift Annuity

Deferred Gift Annuity

Flexible Gift Annuity

Commuted Payment Gift Annuity

Pooled Income Fund

Charitable Remainder Unitrusts

Charitable Remainder Annuity Trusts

Gifts That Protect Your Assets

Bargain Sale

Charitable Lead Trust

Retained Life Estate

This provision is stated as a:

Specific dollar amount ($)

Percentage of estate/account (%)

Dollar Amount($):

Percentage:

Please estimate the current value of the gift to the Burcham Hills Foundation ($):

My gift is:

Unrestricted (General Operations)

Designated

Designated for: