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Online Bequest Notification Form

(**=Required fields)
First Name:  
** 
Last Name:

** 
Spouse's First Name:
(if applicable)
 
Spouse's Last Name:
Date of Birth:  **format: mm/dd/yyyy 
 
Date of Birth:
(spouse:if applicable)
 format: mm/dd/yyyy
Home Address:
** 
City:  State:  Zip: **  ** 
Country:  
Phone:  
** 
Email Address:
** 
Please tell us, in confidence, more about your estate provision for Kingsborough Community College Foundation. The following information is optional.
I have named the Kingsborough Community College Foundation as a beneficiary of my:
 



  For Other Please Specify:
This provision is stated as a:

 ($)
   (%) 
   My Gift is:       
   
   
Please choose one:
 Kingsborough may include my name (and, if applicable, my spouse‚Äôs name) in The Beacon Society listings. (Neither amount nor designation, if provided, will be included on the listing.)
  I am honored to be included in The Beacon Society; however, I prefer to remain anonymous. Please do not include my/our name in The Beacon Society listings.