Gift Intention Form

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Gift Intention Form
- Your commitment ensures that the Archdiocese of Galveston-Houston can fulfill its mission for years to come. By making a planned gift to the Archdiocese of Galveston-Houston, you join a dedicated group of supporters who value those we serve and the work we do.
- This form is not accepting responses at this time.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  ADDITIONAL NAME (OPTIONAL) Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  I/we have made a provision to leave a legacy to the Archdiocese of Galveston-Houston through my/our: REQUIRED Will Trust Life Insurance Charitable Annuity Gift Retirement Plan or IRA Endowment Other Please fill out this field.
  
  If you selected Other, please explain here
  
  I/We have named the Catholic Church in Central Texas as a beneficiary of my/our estate plan. The estate plan includes a gift of approximately $ Please enter valid data.
  
  or the estate plan includes the following % of my/our estate Please enter valid data.
  
  Please use my gift for the following purpose (Archdiocese of Galvston-Houston, parish name(s), a Catholic School, Catholic Charities, any other organization in the Archdiocese of Galvston-Houston) REQUIRED Please fill out this field.
  
  digital signature REQUIRED Please fill out this field. Please enter valid data.
  
  date REQUIRED Please fill out this field. Please enter valid data.
  
  Submit
  
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