Planned Giving Confirmation Form

LA JOLLA SYMPHONY AND CHORUS ASSOCIATION expresses its sincere gratitude for your
willingness to support our future through an estate commitment. Please take a moment to complete this
confidential form and return it to us as a confirmation of your intentions:

If you selected Bequest, please complete one statement:


La Jolla Symphony and Chorus Association welcomes you as a member of the Therese Hurst
Planned Giving Society, which recognizes donors who have made a planned gift for our benefit.
Please indicate below how you would like your name to appear in our recognition materials or if
you wish to remain anonymous.

La Jolla Symphony and Chorus Association is a 501(c)3 non-profit charitable corporation.

Federal Tax I.D. No. 95-1962652