Confidential Statement of Intent

Thank you for your commitment to the over 3 million Canadians impacted by food allergy. Your legacy gift will make it possible for Canadians to live better now and for generations to come.

By choosing to let us know about your gift, you are enabling Food Allergy Canada to better plan for the future. More importantly, it means we can thank you personally for your generosity!

Rest assured that your name will never be published without your express consent, and you’re never under any obligation.

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* 1. Contact information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

About your gift
The nature of my/our gift to Food Allergy Canada is as follows

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* 2. My/our Will contains a bequest amount/percentage of the residue of my/our estate

Amount

Percentage

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* 3. Please enter your amount or percentage:

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* 4. I/we have named Food Allergy Canada as the beneficiary of a

Life insurance policy

RRSP

RRIF

Owner and beneficiary of a life insurance policy in the amount of:
(Please enter your amount)

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* 1. Contact information

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* 2. My/our Will contains a bequest amount/percentage of the residue of my/our estate

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* 3. Please enter your amount or percentage:

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* 4. I/we have named Food Allergy Canada as the beneficiary of a

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* 5. Please share why you've chosen Food Allergy Canada