For additional information, please contact Adelaide Davis

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__ I have named Queens University of Charlotte as a beneficiary in my will or living
trust.
__ Outright bequest (specific dollar amount)
$
__ Queens’ portion of estate ___ % and estimated current value of the portion $
OR
__ I have named Queens University of Charlotte as a beneficiary in a:
__ Retirement plan (Administrator):
__ Life insurance policy (Issuer):
__ Bank/investment account (Institution):
__ Other (describe)
Queens’ portion ___ % and estimated current value of the portion $
Purpose of gift to Queens University of Charlotte:
__ Restricted to_____________________________________________________
__ Unrestricted
Other
I retain the right to change my estate plans without notice as to my designation of
Queens as a beneficiary, as to the purpose of my Queens bequest, and as to the
portion and amount of my estate that will go to Queens.
__ I (we) would like for my (our) name to appear in The Albright Society membership listings
as
(please include your spouse if you wish)
__ I would prefer to be an anonymous member of The Albright Society.
Signature _____________________________________
Date
Optional: Please consider attaching documentation supporting your bequest to Queens.
Name
Alumus/a?
Address
Phone
City
Email
Degree(s) & Year(s)
State
Zip
Date of birth (optional)
For additional information, please contact Adelaide Davis, Associate Vice President for Alumni Relations
& Planned Giving, at 704-337-2329 or [email protected]
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