DECLARATION of INTENT I Believe in the Future of Our Jewish Community

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DECLARATION OF INTENT I believe in the future of our Jewish community. It is my desire to become a partner in that Jewish future and declare my intent to provide a gift to the Kehillah Jewish Education Fund to help fund Jewish education. I/We intend to include a legacy gift for the Kehillah Jewish Education Fund in my/our estate plan within the next__________ months. I/We have already made a provision in my/our will or The mission of the Kehillah Fund is to encourage and enable estate plan. every Jewish child to receive a superior, meaningful, enjoyable Jewish and secular education that imparts My/ Our legacy gift in the approximate amount of ($ or % of genuine Jewish pride and values, builds life skills, and thereby insures Jewish continuity. estate) _________ will be/was completed through (check one): _________________________________________ Bequest/Will Life insurance It is my/our desire that the following partner Retirement Plan Assets organization(s) benefit from my/our gift: Charitable Trust Kehillah Jewish Education Fund Real Estate or Business Interest Akiba Schechter Day School Charitable Gift Annuity Arie Crown Hebrew Day School Donor Advised Fund Bais Yaakov H.S. of Chicago Other ______________________ Cheder Lubavich Hebrew Day Schools Hanna Sachs Bais Yaakov H.S. ________________________________________________ Hillel Torah North Suburban Day School Name(s) Ida Crown Jewish Academy Jewish Child Family Services Yeshiva ________________________________________________ JDBY/ YTT Elementary Schools Address Keshet Day Schools Lubavitch Girls High School ________________________________________________ Lubavitch Mesivta of Chicago City State Zip Skokie Yeshiva High School Telshe Yeshiva ________________________________________________ Torah Academy of Buffalo Grove Home phone Mobile phone Yeshiva Ohr Boruch Yeshivas Meor HaTorah of Chicago _________________________________________________ Jewish United Fund of Metropolitan Chicago Email _________________________________________ Privacy Statement Please choose from the following two options: Please return this Commitment form to: I/We prefer to remain anonymous. KEHILLAH JEWISH EDUCATION FUND To inspire and encourage others to make commitments to 8180 McCormick Blvd Jewish causes for the future, I/We permit my/our name(s) and Skokie, IL 60076 images (photographs) to be included in materials. My/Our name should appear as follows: QUESTIONS? _________________________________________________ [email protected] Print name(s) here 224.470.2926 _________________________________________________ www.KehillahFund.org Signature Date .

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