GPRC President S Council

Appendix 2

GPRC President’s Council

Thank you for your consideration of GPRC in your estate planning! Please take a moment to complete this confidential form and return it to us at your convenience.

I/We ______(please print name(s)) accept your invitation to become a GPRC President’s Council member and confirm the following commitment:

� My will contains a provision the following bequest wording: “To pay to Grande Prairie Regional College, Alberta, presently located at 10726-106 Ave. Grande Prairie, Alberta (BN : 118945484RR0001) _____ % of the residue of my estate, or the sum of $______to be used by Grande Prairie Regional College for its general purposes.”

� I/We have provided a specific gift under my will as follows: ______

______

� I/We have assigned Grande Prairie Regional College as:

� Owner & beneficiary of a life insurance policy � Beneficiary only of a life insurance policy � Beneficiary of a retirement savings plan (RRSP/RRIF)

The value of this gift is $______

I/We have chosen to direct this gift:

� For the following purpose ______or

� To be used by Grande Prairie Regional College for its area of greatest need.

I/We would like my/our name(s) to appear on the Grande Prairie Regional College donor recognition lists in GPRC publications:

� Yes � No

If yes, please indicate below how your name(s) should appear:

______

For more information contact: Joanne Ballance :[email protected] P: 780.539.2719 If at such time your gift is realized and the designated program is no longer available at GPRC, the Vice President – External Relations, or his/her designate will, in consultation with the donor’s representative, discuss an alternative use compatible with the original intent of your donation.

Signature ______Date ______

GPRC respects your privacy and complies with the Alberta Freedom of Information and Protection of Privacy Act. If you have questions, please refer to http://www.gprc.ab.ca/legal/privacy.html or contact the privacy officer at (780) 539-20678, office E205 at GPRC 10726-106 Ave. Grande Prairie, AB or email [email protected]

For more information contact: Joanne Ballance :[email protected] P: 780.539.2719