Planned Gift Notification Form

My gift to Barnard is through my
(please check all that apply) required

My gift to Barnard is through my
(please check all that apply) Will
Living Trust
Retirement Account
Life Insurance Policy
Charitable Trust
Other

If you chose Other, please specify:

If you've marked Retirement Account and/or Life Insurance Policy above, please provide the fund or company where the account is held.

Please do not include account numbers on this form.

My gift to Barnard is a: required

My gift to Barnard is a: Specific dollar amount
Percentage

Gift value in dollars ($): required

Gift Designation: (Additional language may be requested)

Do you wish to remain anonymous with respect to your planned gift? required

Do you wish to remain anonymous with respect to your planned gift? No, Barnard may publicly list my name as a Planned Giving supporter.
Yes, I request that my name not be listed publicly in connection with my planned gift.

First Name: required

Last Name: required

Barnard Class Year:

Birthday: required

Open the calendar popup.

Email Address: required

Email Address Required Field

Phone Number: required