California Pacific Medical Center - Legacy Society Enrollment


I would like to inform California Pacific Medical Center Foundation of a bequest or other gift:

Please enroll me in the Legacy Society based on the information I provide below.*
OR
Please print this form, complete and mail to: CPMC Foundation, PO Box 7999, S.F., CA 94120-7999. Or call 415-600-2114 for assistance.

ENROLLMENT:

I have already included a bequest or other gift in my estate plan through my:            

Donor Roll


  
Personal Information

    

*Information on this page is not encrypted. If you are concerned about maintaining your privacy, please call 415-600-2114 or e-mail sanforp@sutterhealth.org to request an enrollment form. Thank you.