Please fill out this form to enroll in the Sonoma County Family YMCA Heritage Club! Dear Gift Administrator, It is my/our pleasure to inform you that I/we have named the Sonoma County Family YMCA as a beneficiary of an estate gift as set forth below: First, we just need some basic information. Donor First Name Donor Last Name Email Phone Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Relationship to the Sonoma County Family YMCA: Board Member Parent/Grandparents Friend Former Staff Branch Advisory Board Staff Volunteer Member Other… Enter other… This form signifies my/our intention to make a planned gift in the form of (please check all that apply): Bequest IRA Rollover Donor Advised Funds Beneficiary Designation Gift Charitable Lead Trust Pooled Income Fund Endowment Gift IRA to Gift Annuity Rollover This gift is: Unrestricted Restricted as follows (please fill in below) Please tell us how you'd like your gift to be restricted here: The approximate value of my/our gift, in today's dollars: I understand that the Sonoma County Family YMCA has established a Heritage Club to recognize individuals who have made planned gifts. I am pleased to authorize Sonoma County Family YMCA to include me as a member of the Heritage Club. I/We wish to appear for recognition as a member of the Heritage Club (please fill in your name(s) below). I/We prefer not to be recognized or listed in publications. I/We would like to be recognized as: Please sign here. Please sign above. Submit Leave this field blank