Johns Hopkins Legacy Gift Form

If you have planned a gift to support any area of Johns Hopkins University and Medicine, please let us know. We want to thank you, ensure your wishes are met, and welcome you into the Johns Hopkins Legacy Society. Simply complete the information below. If you prefer to speak with a Johns Hopkins gift planning advisor, call 410-516-7954 or 800-548-1268, or email giftplanning@jhu.edu.

About You

We want to make sure records are accurate.

Salutation

First Name *

Middle Name

Last Name *

Preferred Phone

Email Address *

Preferred Mailing Address

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Enter 00000 for a non-US address

Country

How do you prefer to be contacted?

Phone

Mail

Joint Gift

This is a joint gift with my partner / spouse

To give this gift jointly with another individual please include the following information

Please provide the full name of the individual

Please provide your relationship to the individual

I/we have planned a gift to Johns Hopkins by naming Johns Hopkins as a beneficiary of a

Will or trust

IRA or other retirement account

Other

My/our Gift is

Unrestricted

Designated for

Estimated value as of DATE

Month

Day

Year

Amount $

What inspired your gift?

Johns Hopkins Legacy Gift Form