Planned Giving Declaration of Intent

As an expression of my commitment to the mission of CHRISTUS Spohn Health System, I take pleasure in declaring my intention to help provide for the future of CHRISTUS Spohn with a gift through:

my will

a trust agreement

a life-insurance policy

other:

in the approximate amount of
           (indication of amount or percentage is optional)

Though this letter of intent is an expression of my current plans, I understand that I may modify or revoke it and that it is not a legal obligation binding on me or my estate. I give you permission to include my name on your list of planned gift donors, which may be printed in CHRISTUS Spohn publications. I would like to be listed as follows:

Signature:

Date:

Please print this declaration and return to:

Thank you for your thoughtful support.