Notification of Legacy Gift

Please fill in your information below.

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First Name

Last Name

Email

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Is this a Joint Gift?

Yes

No

I would like to remain anonymous

I have named the Arctic Slope Community Foundation as a beneficiary of my:

Will/Trust

Life Insurance Policy

Charitable Trust

IRA or Retirement Plan

Other

My gift is:

Unrestricted

Designated

If "Designated" is chosen above then list designation below

Estimated current value

Thanks for submitting!

3900 C Street, Suite 302, Anchorage, AK 99503

(907) 339-6026

tax ID: 27-2247740

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