Planned Gift Notification Form

 

 

Thank you for including GeoHazards International in your estate plans. 

 

If you have any questions please contact Development Director Susan Fields Bailey at sfbailey@geohaz.org or (650) 614-9050.



Country
Phone
Email*
Confirm Email*
Date of Birth
Bequest amount or percentage
Plan Type (will, trust, beneficiary designation, etc.)
We like to acknowledge our GeoHazards Legacy Giving donors by including their names in publications such as our annual report. Please let us know if you would like to be listed.
My/our name(s) should appear as:
Please use this space to provide any additional information

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