Let’s Make an Impact Together: Become a Member of the
Heritage Society
Contact Information:
Name:
Address:
Phone Number:
Email Address:
[ ] I would like to complete this form with the help of a Corning Community
College Development Foundation member. Please contact me.
[ ] I would like to learn more about what giving options I have that will
simultaneously be personally and financially beneficial.
Gift
Information:
I have included Corning Community College Development Foundation:
[ ] In my will or trust.
[ ] As a beneficiary of my life insurance policy.
[ ] As a beneficiary of my retirement account.
[ ] Other (please specify) .
Gift Documentation:
[ ] I have attached a copy of the relevant portion of my will, trust, beneficiary
designation form, or other planned giving document (Include title page, page
enumerating the gift to the CCCDF, your signature. Please black out confidential
information).
[ ] I would rather speak to a CCCDF representative about this option. Please
contact me.
Amount of Gift:
The approximate value of my legacy gift is currently $ .
Gift Recognition – After the gift is received.
[ ] I would like my name to appear in CCCDF Communications as:
[ ] I wish to remain anonymous.
Donor
Signature:
Date:
Please return this form via email to foundation@corning-cc.edu or via mail to:
1 Academic Drive Corning, NY 14830
Contact the Corning Community College Development Foundation
at 607-962-9458 with any questions or concerns.
click to sign
signature
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