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Diamond Circle Membership Enrollment Form

* Name:     
Address:    
Zip code:
State:      
* Phone:    
 Email:       
My estate plan provides for the university as follows:
 
  USF is to receive:


 
   
 
  


 
I estimate the value of this commitment will be
 
Please use my gift for the following school/purpose:
    

This gift is in honor or memory of:
    

Because one's estate is a highly personal matter, only those who give permission will have their names published in a listing of members of the Diamond Circle.
  

 
I want my name to be listed in the following way (if other than above):