Lankenau Legacies — Member Profile

Please fill out the form below to send us your Member Profile, so that we may welcome you into Lankenau Legacies.

Please note: All highlighted and starred (*) fields are required.

Name(s): *

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Address: *

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Lankenau Medical Center may include my (and, if applicable, my spouse's) name in Lankenau Legacies listings. (Neither amount nor designation, if provided, will be included on the listing.)

I am honored to be included in Lankenau Legacies; however, I prefer to remain anonymous. Please do not include my/our name in Lankenau Legacies listings.

Please share with us, in confidence, more about your estate provision for Lankenau Medical Center Foundation. The following information is optional.

I have named Lankenau Medical Center Foundation as a beneficiary of my:

This provision is stated as a: Specific dollar amount ($):
Percentage of estate/account (%):

Based on Percentage: If based on a percentage, please estimate the current value of the gift to Lankenau Medical Center Foundation ($):

My gift is: Unrestricted (General Operations)
Designated for:

The gift planning information presented on this site is intended as general. It is not to be considered tax, legal, or financial advice. Please consult your own personal advisors prior to any decision.

Lankenau Medical Center Foundation

Lankenau Legacies — Member Profile

I have named Lankenau Medical Center Foundation as a beneficiary of my:

Main Line Health Foundations tax IDs