Thank you for your support of PATH’s efforts to improve global health.

Please fill out this form, print it, and mail or fax it to:

PATH, Attention: Donor Relations, PO Box 19210, Seattle, WA 98109 USA

Fax: 206.285.6619

Your information:

Name:

Mailing address:

City:

State:

ZIP/postal code:

Country:

Telephone:

Email:

Please complete the following for our records.

I have included PATH in my:

Will

Living trust

I have named PATH as a beneficiary of my:

Retirement plan

Life insurance policy

Other:

Approximate amount: $

We would appreciate receiving a copy of the relevant portions of legal documents relating to your intended gift or a letter from your legal or financial advisor that describes the nature and purpose of the gift.

Additional information

I would like additional information on:

Bequests

Designating PATH as a beneficiary of my retirement plan or life insurance