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Ready to join the Legacy Challenge?

Click here to download a copy of this form to print and share with us by mail if you prefer.
Mass General, Office of Planned Giving, 125 Nashua Street, Suite 540, Boston, MA 02114

For a limited time, gifts with an estimated value of $500,000 or more will unlock a $25,000 gift to the MGH Fund. Act now while matching funds are available!

Name *

Address *


My/Our future gift is from (Check one of the following): *

*My/Our gift is valued at: (Please identify your gift range below) *

My/Our future gift will support: *

*Areas of greatest need, as deemed by Mass General president

Check one if applicable:

Allowing us to acknowledge your support publicly is like giving twice. Your gift supports the future work of Mass General, and your name provides an example for others to follow your lead. Please select one of the two options below: *

By completing this form, you confirm your participation in the Legacy Challenge to initiate a matching gift to the MGH Fund. This form is not legally binding. We understand that estate commitments are revocable, and your future plans may change. Please contact us at any time to share updates on your estate plan with a member of our team.


For more information about the Mass General Legacy Challenge, estate planning or other giving, please contact the Office of Planned Giving.