Leaving a Legacy with Planned Giving - Mount Auburn Hospital

Leave a Legacy at Mount Auburn Hospital

Including Mount Auburn Hospital in your personal legacy contributes to our financial strength and ability to effectively carry out our mission. If you have already made a provision to include Mount Auburn Hospital in your estate plans, please consider notifying us by completing and returning this document. It is important to us to ensure that we have accurately recorded your intentions for the use of your gift and to recognize your generous support.

I/we have provided for the future of Mount Auburn Hospital through a provision in my/our estate plans in the following way:

While not required, you may wish to include a copy of the relevant portion of related documents with this form.

I/we would be pleased to be part of The 1886 Society.

Recognition name(s) for The 1886 Society Listing: _______________________________________________________

I/we prefer to be anonymous.

I/we are not able to consider this type of support at this time but may in the future.

I/we would appreciate more information about: ____________________________________________________________

Name/s (please print): ________________________________________________________________

Address: __________________________________________________________________________

Contact information—representative of my estate:

Mount Auburn Hospital (EIN #: 04-2103606)
330 Mount Auburn Street
Cambridge, MA 02138

The information you provide will remain completely confidential unless you authorize Mount Auburn Hospital to publicize your gift. Mount Auburn Hospital understands that all bequest provisions are revocable and any intentions stated here are not binding on you or your estate.