Planned Giving Information Request Form

Please fill out the below form to be contacted by the Northern Cancer Foundation's Planned Giving team.

Title

Name(Required)

First Last

Phone Number(Required)

Email(Required)

Address

Mailing Address City State / Province / Region ZIP / Postal Code Country

Date of Birth

Please Send Me Information On:

Including the Northern Cancer Foundation in my Will

Gifts of Life Insurance

Personal Endowment Funds

Retirement Funds - RRSPs or RRIFs

Donor Advised Funds

Stock Options

Northern Cancer Foundation Financial Statement

Additional Comments