Request more Information

---

More Information

Representatives of the Foundation will be pleased to answer your questions and work with you and/or your advisors if you would like to explore ways to make gifts while preserving your financial well-being and that of your family.

If you would like a representative of the Foundation to contact you about planned giving, please complete the following form:

I am interested in the following types of planned gifts:

	Gift Annuities
	Charitable Remainder Trusts
	Pooled Income Funds
	Gifts by Bequest
	Gifts of Real Estate
	Gifts of Pension Plan Assets
	Other (please specify)
	I would like to or have included the University of Birmingham Foundation in my will or other long-range financial plans.
First Name:
Last Name:
Middle Initial:
Title:
Street Address:
Town/City:
State/Province:
Zip/Postal Code:
Country:
Telephone (Office):
Telephone (Home):
Email:
Date of Birth:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900
Proposed Gift: