Please print this form to answer the following questions and return to Office of Planned Giving The Cleveland Museum of Art 11150 East Boulevard Cleveland, Ohio 44106-1797
Thank you for remembering the Cleveland Museum of Art. All information is confidential.
I have made arrangements for a gift to the Museum through:
[ ] a bequest in my will [ ] a trust [ ] an annuity [ ] a life insurance policy [ ] other: ______________________________________
Please list my name as follows in the Annual Report and Members Magazine:
[ ] The Museum may list my name as follows (please print):
___________________________________________________
[ ] I prefer to remain anonymous
___________________________________________________ Name (please print)
___________________________________________________ Signature
_______________ Date
Associate Director, Planned Giving Bishoy M. Mikhail, Esq. bmikhail@clevelandart.org 216-707-2585
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