Giving a gift of accumulated assets is often a very personal matter. All information provided by you is regarded as confidential. Only answer the questions below if you feel comfortable in doing so. However, the more information you provide, the more we can assist you, and the more you will help the Church of the Brethren General Board in planning for the future.

I (We) have made provision for a future gift to the Church of the Brethren General Board through:

Will,

Gift Annuity,

Trust,

Life Insurance,

Other (specify) ____________________

A specific/approximate amount of $_______________

A percentage of ___% of the remainder when settled

Name(s) ______________________________________________________________________________
Address ______________________________________________________________________________
City ____________________________ State ______ Zip _________
Telephone ____________________ E-mail ___________________________________________________

Birth dates:
Name ________________________________________________ date __/__/__
Name ________________________________________________ date __/__/__

Please print your name(s) below exactly as they should appear in the Fourth Century Enrollment - Generations of Generosity registry.
_________________________________________ — __________________________________________

I (We), the undersigned, because of my (our) faith in Christ and commitment to the church and its worldwide mission and ministry, desire to have my (our) name(s) included in the Fourth Century Enrollment - Generations of Generosity of the Church of the Brethren General Board.

Signature(s): ____________________________________ — ____________________________________

I (We) want to include the General Board in my estate plans and need to know more. Please help me (us) with:

Enclose in an envelope and mail to:
Church of the Brethren
General Board Funding Office
1451 Dundee Avenue
Elgin, IL 60120