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? EmailThis field is for validation purposes and should be left unchanged.