Your Legacy at LLS

PLANNED GIFT NOTIFICATION FORM

Thank you for your support of The Leukemia & Lymphoma Society (LLS). We are honored to be a part of your legacy.

Your partnership sustains our mission to cure blood cancers and improve the quality of life of patients and their families. By informing us of your generous intention to include LLS in your estate plans, you enable us to acknowledge and fulfill your very kind support, while also empowering us to plan our efforts even more strategically.
In order to fully understand your goals, we ask that you provide some key information for our records.

Please tell us about yourself:

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Email Address *

Birthdate (Month/Day only if preferred)

We would be very grateful to hear about why you support LLS and how it is meaningful to you.

Please tell us about how you would like your gift to advance research and help patients. This will help us to ensure that your wishes are honored at the time when your gift is received.

I/We would like LLS to apply my contribution to the area of most need and/or opportunity.

I/We am/are making this gift In honor In Memory of I/We am/are making this gift In honor In Memory of

I/We would like to support a specific area that is most meaningful to me*. Please explain: I/We would like to support a specific area that is most meaningful to me*. Please explain:

*Whenever possible, please ensure that this designation is also reflected in your estate documents.

We would deeply appreciate some basic information on your gift, which will help in our strategic planning for the future. Please provide as much information as you are comfortable sharing.

It is my/our intent to leave a legacy for The Leukemia & Lymphoma Society through my/our:

Estimated value of gift:

Specific amount:

Percentage of estate:

Total estate estimated to be:

Is LLS a

primary or

contingent beneficiary?

Legacy Circle Recognition

We consider all supporters who include a gift of any amount to LLS in their estate plans to be honored members of our Legacy Circle. You may choose to grant permission to be listed as a Legacy Circle member in LLS publications so this gift can inspire others. We hope you will allow us to recognize and celebrate your generous intent in this way: *

Please do not list my/our name publicly

Please publish my/our name(s) among your lists of Legacy Circle members as a motivation for others to leave a future gift to benefit The Leukemia & Lymphoma Society. When recognizing my/our gift please list my/our name(s) as:

Additional Information

It is especially helpful to have a copy of the portion of your will or trust or beneficiary designation form that pertains to your gift to The Leukemia & Lymphoma Society, which will help to ensure that we receive your intended gift in fulfillment of your wishes. *

I/we understand that this commitment is revocable and can be modified by me/us at any time.

I/we would like to receive a Legacy Circle certificate and pin as a thank you for my/our gift.

You can email your document to legacy@lls.org or mail it to LLS at 3 International Drive, Suite 200, Rye Brook, New York, 10573, Attention: Planned Giving Department

If you have any questions or would like more information, please contact our Planned Giving team at (833) 557-4488 or legacy@lls.org.