Legacy Gift Confirmation Form

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Legacy Gift Confirmation Form

We would love the opportunity to recognize your generosity and honour your gift. Kindly complete and submit the form below.

Details of your plans will be kept confidential and will enable us to recognize your generosity in a manner that meets your needs and expectations.

Donor Information
Mackenzie Health Foundation in my will *
Mackenzie Health Foundation in my will
My gift to Mackenzie Health Foundation is *
My gift to Mackenzie Health Foundation is
Executor Information

When wording your gift in will, please use our full legal name.
MACKENZIE HEALTH FOUNDATION | Charitable business number: 11930 6215 RR0001


As a Legacy Society member, you will be the first to know about hospital news and activities, receive invitations to our exclusive events and be listed, with your permission, on our donor walls.

I wish for Mackenzie Health Foundation to report on the impact of my gift with the following contact information

Your legacy gift will support the ultimate in health care now and into the future.
What message would you like to bestow to those who will benefit from your generosity?