Planned Giving Legends For Life — Member Profile Please fill out the form below to send us your Member Profile, so that we may welcome you into Legends For Life. Please note: All highlighted and starred (*) fields are required. Name(s): * Age: Age (Spouse): Address: * City/State/Zip: * Country: Telephone: * E-Mail: * Choose Below: Care Net may include my (and, if applicable, my spouse's) name in Legends For Life listings. (Neither amount nor designation, if provided, will be included on the listing.) I am honored to be included in Legends For Life; however, I prefer to remain anonymous. Please do not include my/our name in Legends For Life listings. Please share with us, in confidence, more about your estate provision for Care Net. The following information is optional. I have named Care Net as a beneficiary of my: Gifts Anyone Can Make Will or Trusts Appreciated Securities Life Insurance Retirement Plans Donor-Advised Fund This provision is stated as a: Specific dollar amount ($): Percentage of estate/account (%): Based on Percentage: If based on a percentage, please estimate the current value of the gift to Care Net ($): My gift is: Unrestricted (General Operations) Designated for: