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Get Orchard Foundation Application For A Gift Annuity Agreement 2014-2024

Ship Payments to be made: Annually Semi-annually Quarterly Applicant's Name (Dr. Mr. Mrs. Miss Ms. Rev.) Street City Telephone Email Type of Gift* Cost Basis $ State Social Security Fax Monthly Date of Birth Zip Code Date of Acquisition *Stocks, mutual funds, bonds, cash, etc. please attach schedule if other than cash. If a joint or survivorship contract is desired, the following information is required: Second Person (Dr. Mr. Mrs. Miss Ms. Rev.) Street City Telephone State Socia.

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