__________________________________________________________
__________________________________________________________
________________________________________
____________________________ ______________________
____________________________ ______________________
Statement of Bequest Intention
Personal and Confidential
1.
I/we have provided a
gift for Randolph-Macon College (the “College”) as set
forth in my/our will, revocable trust, retirement plan, or other estate planning
instrument.
2.
The current esti
mated value of this gift is $_________________.
3.
I/we understand tha
t this statement does not constitute a legally binding
agreement.
4.
My
/our gift is designated as follows:
____ For the College’s general, unrestricted use
____ To the College’s general endowment fund
____ As herein designated:
5.
I/we enclose a cop
y of the relevant portion of our estate plan (optional).
Donor Date
Donor Date
RECOGNITION
_____ Yes, please include me/us as members of the College’s Heritage Society. The
College has permission to publicly recognize this gift. No financial details of the gift will
be publicized.
Please list my/our name(s) as follows:
_________________________________________________________________
_____ Yes, please include me/us as members of the College’s Heritage Society. I choose
not to be publicly recognized for this gift.
_____ No, please do not include me/us as a member of the College’s Heritage Society.
Please return this form to:
Alumni Office
Randolph-Macon College
P.O. Box 5005
Ashland, VA 23005
Phone: 804-752-7218
Fax: 804-752-4700
Email: alumnioffice@rmc.edu