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LEGACY SOCIETY

CONFIDENTIAL ACKNOWLEDGMENT FORM
HAWAI`I PACIFIC UNIVERSITY

HPU wishes to acknowledge all who have made the University a part of their estate plans. If you have already done so, we invite you to join the Legacy Society by completing this form advising Hawai`i Pacific University of your intent.



Legacy Details
Please provide contact and/or policy-number information that would be helpful to the University.
Company / Trust Company
Contact
Policy #
Address Please enter your street address or P.O. Box
City
State or Province
ZIP Code
Phone Number
Notification of Change
Information will remain confidential!

Legacy Information
Please choose yes for all that apply:
I have included HPU in my will or living trust.
I have established a life income plan with HPU as a remainderman or beneficiary.
I have established an insurance policy naming HPU as a beneficiary.
I have made other estate provisions for HPU.

Legacy Society Recognition
Recognition name (Name(s) as you would like to be recognized)
HPU may add my name with others in the Legacy Society.
E-Mail Address
Address Please enter your street address or P.O. Box
City
State or Province
ZIP Code
Country
Home Phone
Work Phone

Margi Ulveling
Associate Vice President
Institutional Advancement
Hawai`i Pacific University
1060 Bishop Street, Suite 400
Honolulu, HI 96813
Phone: (808)544-0213 Fax: (808)543-8079


 
Margi Ulveling mulveling@hpu.edu