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Sempre Society Commitment Form

(Required Information)

Name

Address

City ST Zip

Phone Email

  • I/we already have included a legacy gift to the Kansas City Symphony in my/our financial plans.
  • I/we intend to include a legacy gift to the Kansas City Symphony in my/our financial plans.

Recognition (please check one of the following)

  • Please acknowledge me/us as _______________________________________.
  • I/we prefer to keep this legacy gift anonymous.

 

I/We understand that, though this gift may be revocable, it is my/our intent to provide it to the Kansas City Symphony. (Digital signature)

 

GIFT INFORMATION (optional)

 

How have you included the Symphony in your financial plans?

  • You’re in my/our will or trust.
  • You’re a beneficiary of my IRA or other investment account.
  • Other (Please tell us a little about your gift)

 

Text box for gift information

Will you tell us a little more about the value of your gift?

  • My/our gift has an approximate dollar value of: $_____________.
  • I/we do not wish to share information about the value of our gift at this time.

What do you want your gift to support?

  • Everything the Symphony does on stage and out in the community.
  • A specific program or programming area (please contact me/us about our options).

You may also join Sempre Society by downloading our printable commitment form here (link to commitment form pdf) and returning it to:

Tim Dodge
Manager of Major & Planned Giving
816/218-2627 | tdodge@kcsymphony.org