STATEMENT OF LEGACY INTENTION It is my desire to provide a legacy of support for the Oklahoma Medical Research Foundation. I am pleased to inform you that I intend to provide a gift after my lifetime to benefit OMRF. I understand that this gift is revocable and can be modified at any time. I further understand that I (or my estate) am not legally or morally obligated to fulfill this intention if I chose to modify or cancel this planned gift at a later date.I have included a gift to OMRF in my (please indicate by checking one or more boxes) Will Revocable Trust IRA or other retirement plan Life Insurance Policy Other Other gift type*Name* First Last I wish to remain anonymous Date of Birth* MM slash DD slash YYYY Email* How would you like your name to appear when we recognize your future gift in Chapman Legacy Society related publications?NameThis field is for validation purposes and should be left unchanged.