United Cerebral Palsy of New York City, Inc.

For More Information

To receive additional information about a specific type of planned gift or an illustration of the income and tax benefits of making a planned gift to United Cerebral Palsy of New York City, please complete and submit the information requested below.

(* indicates required field)

*First Name

*Last Name

*Address (line 1)

Address (line 2)

*City

*State

*Zip

Daytime Phone

Please send me the following free materials:

	How to Make a Will That Works
	Giving Through Gift Annuities
	Giving Through Charitable Remainder Trusts
	Giving Securities
	Personal Profile Booklet for Effective Estate Planning (a booklet that you complete for beginning the estate planning process)
	Becoming a Member of the UCP/NYC Legacy Society (information and benefits on joining UCP/NYC's planned giving program)

Please indicate the types of gifts you are interested in:

If you would like an example of the income and tax benefits of the aforementioned gift(s), on what gift amount would you like the example based? $

Do you plan to fund your gift with appreciated property?Yes No

If you plan to fund your gift with appreciated property, please provide the approximate cost of the securities when purchased. $

How old are you?

How old is your beneficiary (if you have one?)

To Contact UCP/NYC by Phone/Fax

You may call Ron Napal, Chief Development Officer, at 1-800-GIVE UCP, ext. 203 or e-mail him at rnapal@ucpnyc.org. You may also copy and complete this form and mail or fax it to:

Ron Napal
Chief Development Officer
United Cerebral Palsy of New York City
80 Maiden Lane - 8th Floor
New York, New York 10038-4811

Fax: (212) 951-7124

The information you provide will be kept strictly confidential and does not obligate you in any way to complete a gift to United Cerebral Palsy of New York City.