Confidential Intention Form | Craig Hospital Foundation

Information submitted through this webform is not legally binding.

Personal Information

First Name:

Last Name:

Spouse First Name:

Spouse Last Name:

Address:

City/Town:

State/Province:

ZIP/Postal Code:

Phone:

Email:

Date of Birth:

Spouse Date of Birth:

Your Gift Intention

To notify Craig Hospital Foundation that an estate gift has been arranged for its benefit, please fill out the below form or print and mail this form and additional documentation to: 3425 S Clarkson Street, Englewood, CO 80113.

I/We want to support the mission of Craig Hospital Foundation through a planned gift as described below:

I/We have included a bequest for Craig Hospital Foundation in my/our will or living trust.

I/We have named Craig Hospital Foundation as a beneficiary of an asset:

Retirement Plan

Bank, Investment, or Other Financial Account

Life Insurance Policy

Other:

Approximate anticipated value of gift:

Please provide a general description of the gift provision (such as, asset to be donated if other than cash or securities, how gift is to be used, whether gift is to create an endowment, etc.):

Yes, you may include me/us in listings of planned gift donors.

Please indicate how you would like your name(s) to appear in our Frank Craig Legacy Society listings. (Please note the amount of your intended gift will not be published):

No, please do not include me/us in listings.

CAPTCHA

Get new CAPTCHA!

What code is in the image?

Enter the characters shown in the image.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.