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.

Required fields

Contact information

Name(s)

Age

Age (spouse/partner)

Address

City / State / Postal code

Country

Telephone

Society listing preference

Lankenau Medical Center may include my (and, if applicable, my spouse's) name in Lankenau Legacies listings. Neither amount nor designation will be included. I am honored to be included in Lankenau Legacies; however, I prefer to remain anonymous.

Gift details (optional)

Specific dollar amount

Amount ($)

Percentage of estate/account

Percentage (%)

Estimated current value of the gift ($)

Gift use (optional)

Unrestricted (general operations) Designated for a specific purpose

Designation

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

Main Line Health Foundations tax IDs