General Information

Personal Illustration Request Form

It takes time and effort to create an effective plan for the future. We'd like to help you by creating a personal profile of the gift type that might best suit your needs and goals. In the meantime, feel free to contact us with any questions.

I'm not sure which gift plan works best for me. Please contact me.

I want to explore:

How to make a Bequest.
Making a gift of Retirement Plan Assets.
Making a gift with Life Insurance.
Gifts of Closely-Held Stock.

Amount to illustrate ($)	or please specify $
Type of asset:
Estimated original cost of asset
Dates of birth of income beneficiaries (if applicable):
Beneficiary #1's date of birth	(4 digit year please; e.g. 1977)
Beneficiary #2's date of birth	(4 digit year please; e.g. 1977)

Comments

First Name *	Last Name *
Address *
Apt or Suite	City *
State *	Zip *
Daytime Phone Number * (with Area Code)	Fax
E-mail Address *

* Indicates a required fields

Office of Gift Planning
Prairie State College Foundation
202 South Halsted Street
Chicago Heights, IL 60411
708-709-3944 | Fax: 708-709-3774

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