Stepping Out To Celebrate Life > Silent Auction Donation Form

Confidential Statement of Intent

First Name*:

Last Name*:

Address*:

City*: State*: Zip Code*:

Home Telephone*: Work Telephone:

Email*:

I/we have made the following provision for a planned gift to the To Celebrate Life Breast Cancer Foundation:

Bequest	Charitable Remainder Trust
Life Insurance	Charitable Lead Trust
Retirement Plan Designation
Other:

In recognizing the gift, To Celebrate Life Breast Cancer Foundation is authorized to list the following name(s) as members of the To Celebrate Life Legacy Society:

I/we have made provision for a gift but prefer confidentiality and wish to be an anonymous member of the To Celebrate Life Legacy Society.
It is my/our intention that this gift be an endowed (permanent) gift to To Celebrate Life Breast Cancer Foundation.
I/we wish to consider a planned gift and would like to discuss this with a member of To Celebrate Life's Board of Directors.

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