The Eugene P. Schonfeld Society — Member Profile

Please fill out the form below to send us your member profile to be welcomed into the Eugene P. Schonfeld Society.

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Please check one:

KCA may include my (and, if applicable, my spouse's) name in the Eugene P. Schonfeld Society listings. (Neither amount nor designation, if provided, will be included on the listing.)

Please list me/us as follows:

I am honored to be included in the Eugene P. Schonfeld Society; however I prefer to remain anonymous. Please do not include my/our name in the Eugene P. Schonfeld Society listings.

Please tell us, in confidence, more about your estate provision for Kidney Cancer Association

I have named Kidney Cancer Association as a beneficiary of my:

Will/trust for:

	a specified amount
	a specified percentage

Life Insurance Policy

IRA or Retirement Plan

Other (please specify):

My gift is:

	Unrestricted (General Operations)
	Designated for:

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as of (date)

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