Survey - Table of Hope Society Intention Form

The Table of Hope Society is a group of thoughtful donors who have chosen to include Second Harvest Heartland as part of their philanthropic legacy through their will or estate plan. Such a commitment is a tremendous demonstration of trust and dedication, and we are so grateful!

By sharing some details about your gift plan with us, you can help us better understand your goals, keep accurate records, and ensure that your gift has the impact you want to see on our mission. We understand that life is unpredictable and these plans may change it is still helpful for us to have a picture of your intentions as they stand today. Thank you so much for your partnership. With your support, we can End Hunger Together!

Please share your contact information with us:

This information helps us to correctly identify you in our donor database.

*1.

Question - Required - First Name:

*2.

Question - Required - Last Name:

3.

Question - Not Required - If applicable, please list the first and last name of your spouse.

4.

Question - Not Required - Email:

Address:

*5.

Question - Required - Street 1:

6.

Question - Not Required - Street 2:

*7.

Question - Required - City:

*8.

Question - Required - State:

*9.

Question - Required - ZIP Code:

*10.

Question - Required - Would you like to be recognized in the Table of Hope Society?

Yes, please recognize me/us in the Table of Hope Society using the name(s) above

No, I/we wish to remain anonymous

*11.

Question - Required - Please indicate your planned gift below (select all that may apply)
Please make at least 1 selection from the choices below.

	Bequest in will
	Retirement account
	Family foundation or donor advised fund (DAF)
	Trust
	Life insurance policy
	Charitable gift annuity
	Brokerage/securities
	Real estate/property
	Other

12.

Question - Not Required - Estimate value of your planned gift

*13.

Question - Required - Is Second Harvest Heartland named as a primary or contingent beneficiary in your plan?

Primary

Contingent

14.

Question - Not Required - Contact information of your attorney, executor, of financial advisor

(Maximum response 255 chars, approx. 5 rows of text)

15.

Question - Not Required - Please add any other details you wish to share.

Table of Hope Society Intention Form

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