Planned Giving Intention Form

Let us know if you are planning to include the Albany Symphony in your estate plans.

Please note: This form is not binding and all personal information listed will be kept in strict confidence.

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Gift type

Bequest through a will

IRA beneficiary designation

Life insurance beneficiary designation

Gift of stock or publicly traded securities

Other

I/We would like to be recognized in the Encore Society as:

I/We wish to remain anonymous.

Estimated value of gift: