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1754 Society Member Profile

Please fill out the form below to send us your member profile to be included into 1754 Society.

* Indicates a required field

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Please check one:

Columbia may include my (and, if applicable, my spouse's) name in 1754 Society listings. (Neither amount nor designation, if provided, will be included on the listing.)
Please list me / us as follows:
I am honored to be included in 1754 Society, however I prefer to remain anonymous. Please do not include my/our name in 1754 Society listings.


The following information is optional:

Please tell us more about your estate provision for Columbia.

I have named Columbia as a beneficiary of my:

Will/trust for:
a specified amount
a specified percentage
     
IRA or retirement plan    
Life Insurance Policy    
Other (please specify):

 

My gift is:

Unrestricted Designated for:
Estimated current value as of (date)

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