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Thank you for your interest in Lafayette’s planned giving program. To request a no-obligation gift illustration for any of the options below, please complete the following questionnaire. If you have any questions, please contact Joe Samaritano at 610-330-5047 or samaritj@lafayette.edu.
Enter your name and class year.
First Name
Last Name
Class Year
Provide information for at least one of the options below with best means to contact you.
Phone
Email
U.S. Mail
Please provide information on all that apply (4 options listed below):
1) One-Life CGA -
Income for life for one beneficiary.
Date of Birth MM/DD/YYYY
2) Two-Life CGA -
Income for life for two beneficiaries.
Date of Birth MM/DD/YYYY
Date of Birth MM/DD/YYYY
3) One-Life Deferred Payment CGA -
Income for life for one beneficiary. Payments start at a future date determined by you; the longer the deferment, the higher the payout rate.
Date of Birth MM/DD/YYYY
Payment Starting Date MM/YYYY
4) Two-Life Deferred Payment CGA -
Income for life for two beneficiaries. Payments start at a future date determined by you; the longer the deferment, the higher the payout rate.
Date of Birth MM/DD/YYYY
Date of Birth MM/DD/YYYY
Payment Start Date MM/YYYY
Please specify amount.
If no amount specified, a $50,000 illustration will be prepared.
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