Declaration of Intent for Legacy Giving

Please complete this form to notify us of your intended bequest to Cambridge in America, for the benefit of Collegiate Cambridge, and indicate your name preference regarding publication as a 1209 Society member. All information is held in the strictest confidence. Thank you for your generosity!

Declaration of Intent Form

Information

First Name First name is required

Last Name Last name is required

Email Address Please include an '@' in the email address

College and Matriculation Year (Optional)

Phone (Optional)

Membership listing (please check one):

Please include my (and, if applicable, my spouse's) name in your society listings. Neither amount nor designation, if provided, will be included on the listing.

Please list me / us as follows:

Please list me / us as follows:

I am honored to be included in your society; however, I prefer to remain anonymous. Please do not include my/our name in your society listings.</label >

This form is for information purposes only. Your estate is not legally bound by submitting this statement. Your intentions may remain revocable and can be modified at any time.

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