Gift Intention Form

Mary Bird Perkins Cancer Foundation: Gift Intention Form
I/we have made a provision to leave a legacy to Mary Bird Perkins Cancer Foundation through my/our:

If you selected "Other" or would like to share the value of your gift, please contact Carter Rose Stone at (225) 215-1298 or cstone@marybird.com.

Please use my gift for the following purpose(s):
Membership listing (please check one):

Please list me / us as follows:

By signing this member profile, I reaffirm my commitment to Mary Bird Perkins Cancer Foundation. However, this letter shall not be binding upon my estate, and the information contained herein shall be used for Mary Bird Perkins Cancer Foundation purposes only.

Digital Signature

The information you share will be kept strictly confidential. By completing this form, you may receive communication and planned giving email news from Mary Bird Perkins Cancer Foundation. You can unsubscribe any time.

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