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* 1. Yes, I accept the invitation to join the USCRI Legacy Society. I have provided for USCRI in the following way(s):

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* 2. My gift is:

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* 3. Approximate gift amount (optional):

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* 4. I understand that my commitment to leave USCRI a gift in my estate entitles me to enrollment in the USCRI Legacy Society and special recognition in publications.

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* 5. Your Contact Information

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