4. Second person's name:


5. Second person's date of birth:


6. Second person's relationship to you (spouse, friend, sibling, etc.)


7. I am interested in funding a life income gift with:
bank CD or cash
mutual fund
appreciated stock
real estate

8. I am most interested in:
increasing my current income
increasing my income tax charitable deduction

WGBH's Planned Giving staff will help you explore the options so that you can decide what's best for your particular financial objectives. Please feel free to contact mary_moran@wgbh.org, or 800-220-7122.