Gift Planning - Information Request

Name:

Address:

City:

State:

Zip Code:

Telephone:

E-mail:

Class:

PA Parent

Please check one:

	The Samuel Phillips and Sarah Abbot Society may include my name in a membership list. (Neither amount nor designation, if provided,will be included in such a list.)
	I prefer that my support through the Samuel Phillips and Sarah Abbot Society remain anonymous at this time.

OPTIONAL

Please tell us more about your estate plans for Phillips Academy. Information shared will be held in confidence by the academy, and no valuation of provisions will be shared in the publication of our Society Honor Roll.

I have included Phillips Academy in my:

Comments:

My ultimate gift for Phillips Academy will be:

for unrestricted use

restricted for the purpose of

Estimated current value of estate provision(s):

This will be sent to David Flash, director of gift planning.
(dflash@andover.edu or telephone (978) 749-4297).