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Planned Gifts: Joining the Paul Hanus Society

Please complete the following form. Bolded fields are required.

Prefix:

First Name:

Middle Initial:

Last Name:

Suffix:

School:

Year earned degree:

Preferred e-mail:

Address:

e.g.: 200 Cayuga Street Apt. #2A
Ithaca, NY 14850-2201 USA

Phone:

I have made a bequest to HGSE

Yes No

I have made a life income gift to HGSE

Yes No

I would like more information to be sent to me.
I would like my name to be included on the list of Paul Hanus donors in the HGSE annual report.

Please list my/our name(s) in the annual report as follows:

I would prefer to be an anonymous member of the Paul Hanus Society.

Interests at HGSE:

E-mail Updates from HGSE

Please check this box if you would like to receive monthly news updates from HGSE via e-mail

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