DECLARATION OF SUPPORT
(Notification of Client(s) Inclusion of the American Cancer Society in Estate Plan)
I trust this information will be held in the strictest confidence and utilized only for estimating the value of future gifts for use in the fight against cancer. It is understood that this Declaration of Support is not legally binding and that the future gift to the American Cancer Society may be changed without notice.
Advisor Signature Date Address
Print Name City, State, Zip Code Phone Number