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Legacy Gift Intention Form

Description of Gift

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Is this Gift a Percentage of your Estate or Account or is it a Specified Amount?

A
B

Gift Percentage

Gift Amount

I plan to give this gift in honor or memory of:

Recognition:

Cascade PBS recognizes our incredibly generous legacy supporters on air, in the annual report and in other publications. By listing your name in our publications, we hope you will inspire others to create a legacy of support for Cascade PBS. How would you like to be recognized?
I / We give permission for my/our name to appear in publication records as:

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Legacy Circle Membership:

The Cascade PBS Legacy Circle honors generous individuals who have planned for a future gift to Cascade PBS in recognition of all that public television has meant in their lives. The Legacy Circle provides you with opportunities to connect with others interested in learning more about the important work and newest endeavors at Cascade PBS.

I / We wish to be included in the Legacy Circle

Contact Information:

First Name
Last Name

Phone Number

Email

What is your Date of Birth?

Address