Planned Giving - Information Request Form

Planned Giving - Learn More

Connect with us to learn more about Planned Giving. Please complete this form, and we will contact you with additional information.

Name*
First Last
Date of Birth
MM slash DD slash YYYY
Name (if applicable)
First Last
Date of Birth
MM slash DD slash YYYY
Email*
Phone*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Interests:*
- I/we are interested in learning more about making a planned gift to Cure HHT
- I/we would like information on making an estate gift to Cure HHT, such as in a bequest or through a retirement plan or life insurance policy
- I/we would like information on making a gift that returns income, such as a charitable gift annuity or a charitable remainder trust
- I/we have already included Cure HHT in my/our estate/financial plans but have not previously notified you
- I/we are considering including Cure HHT in my/our estate/financial plans
Questions about Planned Giving
Consent*
By clicking the Submit Button, I agree to the terms below.
The information provided on this form will be stored by Cure HHT. We will treat your information with respect. For more information about our privacy practices please visit www.curehht.org/privacy. By agreeing to the terms of consent, you agree that we may process your information in accordance with the terms of our privacy policy.