The Dr. Roswell Park Society — Member Profile

Please fill out the form below to send us your Member Profile, so that we may welcome you into the Dr. Roswell Park Society.

Please note: All highlighted and starred (*) fields are required.

Name(s): *

Age:

Age (Spouse):

Address: *

City/State/Zip: *

Country:

Telephone: *

E-Mail: *

Choose Below:

Roswell Park may include my (and, if applicable, my spouse's) name in the Dr. Roswell Park Society listings. (Neither amount nor designation, if provided, will be included on the listing.)

I am honored to be included in the Dr. Roswell Park Society; however, I prefer to remain anonymous. Please do not include my/our name in the Dr. Roswell Park Society listings.

Please share with us, in confidence, more about your estate provision for the Roswell Park Alliance Foundation. The following information is optional.

I have named the Roswell Park Alliance Foundation as a beneficiary of my:

Gifts Anyone Can Make

Will or Trusts

Designate & Donate

Retirement Plans

Stocks and Investments Fund Accounts

Life Insurance

Bank Accounts

This provision is stated as a: Specific dollar amount ($):
Percentage of estate/account (%):

Based on Percentage: If based on a percentage, please estimate the current value of the gift to the Roswell Park Alliance Foundation ($):

My gift is: Unrestricted (General Operations)
Designated for:

Contact Us

Planning your estate and legacy for future generations, including your charitable interests, takes careful evaluation. Consulting with the appropriate professionals can assist you in making your plans to benefit Roswell Park.

The gift planning information presented on this Planned Giving website of the Roswell Park Alliance Foundation is not offered as legal or tax advice.
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