SUNY New Paltz Foundation

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A Charitable Gift That Rates

  1. I am interested in receiving information about:
    single life     two life

  2. Amount: $10,000     other amount

  3. I plan to fund my annuity:
    cash appreciated securities a combination

  4. I prefer the following payment schedule:
    semiannually quarterly monthly

  5. Beneficiary Information
    (preferred min. age for immediate-payment gift annuity is 60)

    First Beneficiary:
    Name:
    Date of Birth:

    Survivor Beneficiary: (for a two-life plan)
    Name:
    Date of Birth:

    Please send my confidential annuity analysis to:

    Name:

    Address:

    City:

    State:   Zip:

    E-mail:

    Please give me a call at:
    home:
    work: