Legacy Gift Intention Form

(Please fill in and submit securely online)

I am pleased to ADVISE (or) UPDATE Saint John's Health Center Foundation of my intention to make a future gift by making a bequest or other provisions to support Providence Saint John's Health Center, the John Wayne Cancer Institute or the Pacific Neuroscience Institute, for which the Foundation facilitates philanthropic gifts.

The Foundation is included in my/our estate plan with the following legacy gift types:

Expected gift amount:

I have provided for a future gift with:
a

Please designate this gift as follows:

(i.e. cancer, nursing, heart, neuroscience, endowment, etc. Please call the Foundation at (310) 449-5246 for details.)

Recognition:


DOCUMENTATION (Optional):

Please contact Andy Trilling at (310) 449-5246 or email [email protected] for more information.

Thank You

Thank you for your interest in supporting Saint John's Health Center Foundation.

One of our gift planning representatives will contact you to discuss your charitable plans.

We'd like to also thank you for signing up for our free enewsletter. We have added your name to our subscriber list.

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