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Charity Gift Annuity Proposals

  First Beneficiary and Contact Information












Second Beneficiary Informaion (if joint)







Question - Not Required - Will your annuity be funded with cash or securities?

Question - Not Required - Preferred frequency of payments?

Question - Not Required - Do you want to begin payments this year or defer to the future?


   Please leave this field empty

 We'll contact you about your scenario shortly and go over it with you. If you have any questions, please contact us at gifts@humanesociey.org or 1-800-808-7858.