Confidential Legacy Intention Form

 

Welcome to the William Cooper Procter Legacy Society—our way of recognizing friends like you who share our vision to improve outcomes for the children and families who rely on us.

Your support saves lives.

Legacy gifts, such as those included in a will or trust, or as a beneficiary of life insurance or retirement assets, advance life-saving care and research discoveries for generations to come. Membership in the Wiliam Cooper Procter Society involves no dues or obligations. It simply helps us thank and recognize you for the plans you have made, as well as the financial future to carry out our mission. .

Click if you prefer to print this form and mail it to our office.

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(Maximum response 255 characters, approx. 5 rows of text)

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Question - Required - Preferred method of communication:
Please make between 1 and 2 selections from the choices below.

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Question - Required - Date of Birth:




 

Your gift may inspire others to give, and we hope you are willing to be acknowledged in Cincinnati Children’s publications with other members of the William Cooper Procter Legacy Society.

   


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Question - Required - I wish to remain anonymous.

* How often would you like to hear from us?
(Select one of the available choices or enter a different answer.)



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Question - Required - I/we have included my/our estate plan a gift to Cincinnati Children's for:

  *Should you wish to designate your gift to a specific purpose, we strongly recommend that you contact us to discuss the restriction to make sure that we are able to honor your inentions.

   


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Question - Required - Please describe your planned gift: (Please select all that apply.)

 

(Maximum response 255 characters, approx. 5 rows of text)

 

(Maximum response 255 characters, approx. 5 rows of text)

   


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Question - Required - Are you willing to share your story for use in a future publication?

 

Cincinnati Children’s would like to recognize your attorney and/or other professional advisor(s) who have assisted you in creating your legacy gift. We hope you will take a moment to add name(s) and address(es) below so we can thank them personally at one of our special events held for professional advisors.

   


 

(Maximum response 255 characters, approx. 5 rows of text)

   


   


  Cincinnati Children’s wishes to assure you that your statement of intention does not constitute a legal obligation and will not be legally binding in any way for you, your heirs, or your estate. Further, Cincinnati Children’s understands that the size of your future gift may be different from the amount estimated above.
 
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Questions may be directed to:

Suzanne M. Rohlfs, JD, CAP®
Director, Legacy Planning
Telephone: 513-636-1192
Email: suzanne.rohlfs@cchmc.org 

Kelli M. Kurtz, CAP®
Senior Officer, Legacy Planning
Telephone: 513-636-5685
Email: kelli.kurtz@cchmc.org

Learn more about legacy giving at cincinnatichildrens.org/legacyplanning

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