Legacy Gifts Pledge Form

Thank you for your pledge to leave a legacy with 84000! A planned gift represents a timeless investment in the mission of 84000.

First Name

Last Name

Chinese Name

Email Address

Phone

Street Address

City

State

Country

Zip/Postal Code

Age (optional)It is my/our plan to leave a legacy gift(s) to 84000 through one or several of the following options:WillBeneficiary Designation (Retirement Plan/IRA)Beneficiary Designation (Insurance)Beneficiary Designation (Bank Account)OtherAs of this date, I/we anticipate the following approximate value of our planned gift to 84000. (This information is for 84000's planning purposes and is not legally binding)84000 would like to recognize your pledge by including your name in our Legacy Circle list in our annual reports, in order to inspire others to give. (Note: The amount of your gift remains confidential)Yes, I/we would like to be listedNo, I/we would like to remain anonymousAny other details that you wish to share about your planned gift(s)Name and contact (email/phone) of advisor to this planned gift(s)Purpose of your legacy gift to 84000The gift is unrestricted to provide maximum flexibility for 84000I have a specific purpose in mind that I would like to discuss with you

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