Planned Giving Intent Form - MACCThank you for considering including Mother and Child Charity (MACC) in your estate, will, or other planned giving. This form allows you to share your intent so we can properly recognize your generosity an provide information to support your giving. Completing this form does not create a legal obligation; it simply helps MACC plan for the future.Please enable JavaScript in your browser to complete this form.Your Full Name *FirstMiddleLastYour Email *EmailConfirm EmailPlease enter your email, so we can follow up with you.Your Phone numberBest number to reach youPreferred Method of Contact *EmailPhoneDoes your planned gift involve a spouse or partner? *YesNoSpouse / Partner Name (Please provide their information. This is optional and will be kept confidential.) FirstMiddleLastSpouse / Partner Email (if applicable)EmailConfirm EmailAddressBuilding number and Street nameCity, State, Zip codeWhich planned gift(s) are you considering?Bequest in Will or Living TrustRetirement Account BeneficiaryLife Insurance DesignationCharitable Gift AnnuityCharitable Remainder Trust (CRT)Charitable Lead Trust (CLT)Stocks / Securities / Mutual FundsThe Charitable IRA Rollover GiftReal Estate / PropertyBusiness Interests / OwnershipEndowment / Restricted GiftDonor-Advised Fund DistributionTangible Personal PropertyOtherPlease give detail about your donation:Any specific program or area you wish to support. Estimated value or percentage of gift.Please check: (if applicable)In Honor ofIn Memory ofIn Honor / Memory of: (if applicable)Name:Person to inform of your Gift: (if applicable)Name and Email AddressWould you like to be recognized publicly as a planned giving supporter?Yes, I consent to recognitionNo, I prefer to remain anonymousI would like more information about going the MACC Legacy Circle.I already have a signed Letter of Intent for MACC.I would like MACC's guidance to assist me with creating my signed Letter of Intent.I understand that I must have a singed planned giving intent and that MACC does not provide legal, tax, or financial advice. I consent to be contacted by Mother and Child Charity, INC. (MACC) regarding my submission. I understand that my information will be kept confidential and that I can update or revoke my intent at any time.EmailSubmit