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The Hance Legacy Society — Member Profile

Please fill out the form below to send us your member profile to be included in the
Hance Legacy Society.
* Indicates a required field

Name(s): *
Address: *
City/State/Zip: *
Telephone:
E-Mail:

Please check one:

St. Barnabas Charities may include my (and, if applicable, my spouse's) name in the Hance Legacy Society listings. (Neither amount nor designation, if provided, will be included on the listing.)

Please list me / us as follows:

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

Please tell us, in confidence, more about your estate provision for
St. Barnabas Charities

I have named St. Barnabas Charities as a beneficiary of my:

Will/trust for:

	a specified amount
	a specified percentage

Life Insurance Policy

IRA or Retirement Plan

Other (please specify):

My gift is:

Unrestricted

Designated for:

Estimated current value

as of (date)

Free Care Fund | Hance Legacy Society | Programs & Events | Volunteer Opportunities | Presents for Patients | Pennies for Patients | Planned Giving | Make a Gift | Donate a Car | Day by Day by Day Book | Faith & Work Magazine | Contact Us

The Hance Legacy Society — Member Profile

Please tell us, in confidence, more about your estate provision for St. Barnabas Charities

My gift is:

Please tell us, in confidence, more about your estate provision for
St. Barnabas Charities