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IMGALTTAG

The Dilworth Society Form

Instructions
To make your pledge to Chatham and to ensure accurate processing, please complete all items that are purple. After submitting the form, please fax (412-365-1610) or mail a copy of the relevant page from your current will, annuity or trust agreement, or any other pertinent information regarding your gift to: Chatham University, Office of Institutional Advancement, Woodland Road, Pittsburgh, PA 15232.

If you have problems using this form, please contact the Webmaster at Chatham University.

STEP 1 : PERSONAL INFORMATION
First Name :
Middle Name :
Last Name :
Maiden Name :
Address :
City :
State :
Zip/Postal Code :
Country :
Phone Number :
Email Address :
STEP 2 : GIFT PLANNING INFORMATION
 
I am remembering PCW/Chatham University in my gift planning through:
a bequest intention
a unitrust charitable remainder
an annuity trust charitable remainder
a gift annuity
life insurance
retirement funds
a gift of real estate
other
 
My planned gift for the College has been established as:
an unrestricted gift
a restricted gift - please indicate the restrictions you wish to place on the gift; for example, you would like the gift to establish a scholarship fund* in your name
 
  *Scholarship funds at Chatham University must reach a minimum of $25,000 to be considered an endowed fund; however, gifts of any amount may be included in the general scholarship fund. Amounts in excess of $125,000 may be designated to a particular student; e.g. a student from Allegheny County.
 

 
Chatham University
Office of University Advancement | Alumni Relations | College Communications | Development
Beatty House • Woodland Road
Pittsburgh, PA 15232