Survey - Donor Declaration - Outreach International

Thank you for your interest in leaving a Legacy gift for Outreach International in your estate plan. Your generosity will continue to provide permanent, transformative change for people living in extreme poverty.

Please share your details below to let Dr. John Herron, Outreach International President and CEO, know of your intent to leave a legacy gift.

Question - Not Required - Check all that apply:

	I / we have designated Outreach International as a recipient of our estate plan.
	I / we would like to remember Outreach International with a legacy gift but need more information.

Enter your information:


*	First Name: Required
*	Last Name: Required
*	Email: Required
*	Street 1: Required
	Street 2:
*	City: Required
*	State / Province: Required
*	ZIP / Postal Code: Required
*	Country: Required
*	Phone Number: Required
	Hooray! You'll receive occasional email updates from Outreach International about the good things your support makes possible.

If you are currently discussing plans with your financial advisor or attorney, you may need the following information:

Federal Tax ID number: 43-1164177
Legal name: Outreach International
112 W 18th St
Kansas City, MO 64108
816.833.0883

Thank you for your interest in supporting Outreach in this way. This confirmation of intent will enroll you in the Outreach International Legacy Circle, and you will be contacted regarding your participation. Thank you for your generosity!