Declaration of Intent - Legacy Sustainers
In the tradition of sharing my/our blessings with others, I/we take deep satisfaction in declaring my/our intent to help provide for the needs of future generations of young Jewish people on college campuses by making a planned gift to Hillel at UCLA.

This revocable agreement demonstrates my/our heartfelt intention to include instructions in my/our estate plans to provide support Hillel at UCLA (574 Hilgard Avenue, Los Angeles, CA 90024. EIN #46-0573247).

If you have any questions, please contact Director of Philanthropic Partnerships, Rachael Petru, at (310) 926-5045 or Hillel at UCLA is not engaged in providing legal or tax advice.  Please consult your professional advisor(s) before making your gift.

Sign in to Google to save your progress. Learn more
Email *
First Name
Last Name
I/we consent to allow Hillel to acknowledge my/our participation in the Hillel Forever Legacy Society via printed and electronic media. Please print my/our name(s) as written above.
Clear selection
Phone Number
Mailing Address
Clear selection
Please provide the following optional information:
To assist Hillel at UCLA in its long term planning, I/we are pleased to provide the following information regarding my/our intentions:
Clear selection
If applicable, this percentage of my estate is promised (please list the percentage here):
If applicable, this dollar amount of my estate is promised (please list the dollar amount here):
Please provide any additional information on your intent here:
 By submitting this form online in lieu of preparing a hard copy of the Declaration of Intent, I confirm that this commitment valid and that my submission is equal to my signature.
Clear selection
Today's Date *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hillel at UCLA. Report Abuse