Bequest Intent Form

Have you already included a gift to Victoria Hospitals Foundation in your will? If so, informing us of your gift provides the opportunity to properly thank you and recognize your support.

Thank you for investing in the health of future generations with a gift in your will to the Victoria Hospitals Foundation. We are so grateful for your support and commitment to world-class healthcare right here at home.

To notify us of your gift, please fill out this confidential form or contact a member of our team at vhf@islandhealth.ca or 250-519-1750.

Contact Information
Contact name*
Prefix First Last
Address*
Street Address Address Line 2 City Province Postal Code
Email*
Phone*
Bequest Intent
Please fill in one or all of the options below as applicable.
Bequest in my/our will in the amount of, or the percentage of the residue:
Beneficiary of my RRIF/RRSP in the percentage of:
Beneficiary of a Life Insurance Policy with a value of:
Recognition
I would like my/our name recognized in the VHF Annual Report*
Available if your gift is $20,000 or higher
- Yes
- Recognize me/us as Anonymous
- No
I would like my/our name recognized on the twin donor walls at Royal Jubilee and Victoria General hospitals*
Available if your cumulative giving is $20,000 or higher
- Yes
- Recognize me/us as Anonymous
- No
(If YES to one or both of the above) In the Annual Report and/or on the Donor Walls, please list me/us as:
About Your Gift
Any further details you would like us to know about you and/or what your gift means to you?
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Consent
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Bequest Intent Form

Contact Information

Bequest Intent

Recognition

About Your Gift

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