Future Gift for the MCV Campus
Thank you for supporting the MCV Campus through your estate. We are excited to welcome you as a member of the MCV Society. If you would like for your gift to be anonymous we will be happy to honor your request. Please share a little more about your gift to help us ensure we can use it as you intend when it arrives. The information you share through this form is not binding on you or your estate and is used for record-keeping and planning purposes.  
Sign in to Google to save your progress. Learn more
Email *
1. First and last name(s): *
2. Date(s) of birth: *
3. Preferred phone(s): *
4.  The MCV Foundation or one of its campus partners, (e.g. College of Health Professions, School of Dentistry, School of Medicine, School of Nursing, School of Pharmacy, Massey Comprehensive Cancer Center, Pauley Heart Center, Neurosciences, VCU Health) is a beneficiary of my:
 *
Required
5. My gift is to support:
 *
Please describe how you would like your gift to be used when it is received. If the purpose for which you designate your gift no longer exists at the time your gift is received, we will direct your gift to another use as close as possible to your original intent.  If you would like your gift to be used where it is needed most, write "for the general purposes of [your preferred school/s or unit/s]" in this section.
6. An estimate of the current value of my gift (if it were received today) is:
 *
This estimate is not binding on you or your estate. We recognize that estate plans can change and that there may be fluctuation in this value due to personal and economic circumstances.
7. Additional comments about my gift
Please share any additional information you would like us to have about your gift.
8. Legacy society membership
 *
Your gift entitles you to membership in a legacy society. To honor legacy society members and inspire others we invite them to special events and programs and their names may appear in electronic or print publications.  Individual gift values are not shared as part of this recognition.

Please type below how you would like your name(s) to appear on legacy society listings.
If anonymity is a condition of your gift, please type "anonymous" in this field.
Thank you!
Thank you for sharing information about your future gift for the MCV Campus  Gifts like yours help to ensure the success and well-being of future generations of students, patients, faculty, staff, and the broader community.

If you prefer, you may print and mail your form to:
Office of Planned Giving
111 N. 4th Street
Box 842039
Richmond, VA 23284

Contact us at 804-828-7370, or plannedgiving@vcu.edu
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Virginia Commonwealth University.

Does this form look suspicious? Report

Google Forms