Legacy Giving Confirmation | WhidbeyHealth Fndn

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Legacy Giving Confirmation Form

Thank you for including WhidbeyHealth Foundation in your estate plans. Your generosity helps ensure quality healthcare for future generations. Please complete this confidential form to help us honor your wishes and acknowledge your commitment.

Donor Information

First Name

Email

Last Name

Phone

Street Address

Street Address Line 2

City

State

Postal / Zip code

Legacy Gift Details

I/We have included WhidbeyHealth Foundation is my/our estate plans through one or more of the following:

Will / Bequest

Retirement Plan

Life Insurance

The estimated value of my/our planned gift (Optional):

Recognition & Privacy

Yes, you may publicly acknowledge my/our gift as part of the Legacy Circle.

I/We prefer to remain anonymous.

Thank you!

101 N Main St

Coupeville, WA 98239

Tax ID: 91-1147024

360.678.7656 x6501

Office Hours:

Monday - Thursday

10 AM - 3 PM

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