Leave a Legacy at St. Luke’s University Health Network

Including St. Luke’s in your personal legacy contributes to our financial strength and ability to effectively carry out our mission. If you have already made a provision to include St. Luke’s in your estate plans, please consider notifying us by completing and returning this document. It is important to us to ensure that we have accurately recorded your intentions for the use of your gift and

I/we have provided for the future of St. Luke’s through a provision in my/our estate plans in the following way:

St. Luke’s is in my/our will or living trust

Retirement plan beneficiary designation

Charitable gift annuity

Charitable remainder trust

Charitable lead trust

Gift of real estate or personal property

Life insurance beneficiary

While not required, you may wish to include a copy of the relevant portion of related documents with this form.

I/we would be pleased to be part of The 1872 Society.

Recognition name(s) for The 1872 Society Listing: _______________________________________________________

I/we prefer to be anonymous.

I/we are not able to consider this type of support at this time but may in the future.

I/we would appreciate more information about: ____________________________________________________________

Name/s (please print): ________________________________________________________________

Address: __________________________________________________________________________

Phone: ______________________________

Email: ______________________________

Contact information—representative of my estate:

Name: ______________________________

Phone: ______________________________

Role: _______________________________

Email: ______________________________

St. Luke’s University Health Network (EIN #: 23-1352213)
801 Ostrum Street
Bethlehem, PA 18015
484-658-6134

The information you provide will remain completely confidential unless you authorize St. Luke’s University Health Network to publicize your gift. St. Luke’s understands that all bequest provisions are revocable and any intentions stated here are not binding on you or your estate.