Henry Mills Society Membership Application
Statement of Donor Intent
I (We) would like to inform George Fox University that the university will benefit from my (our):
Gift Type
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Bequest – will or living trust
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Retirement plan beneficiary
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Charitable gift annuity
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Charitable remainder trust
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Life insurance policy
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Life estate
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Other
My (our) gift plan is to support _______________________________________.
(School, scholarship, program)
This statement is intended to inform George Fox University of a charitable intention and is
not considered an enforceable pledge.
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You may include me (us) in a listing of Henry Mills Society members as
________________________________________
(Preferred name)
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Please do not publish my (our) name. I (We) wish to remain anonymous.
Donor name(s) __________________________________________________
Address _______________________________________________________
City ___________________________ State ____________ Zip ___________
Phone _________________________ Email __________________________
Please return to:
Office of Estate & Planned Giving
George Fox University
414 N Meridian Street #6049
Newberg, OR 97132