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Please fill out this form and mail it and send it to us by clicking submit at the bottom of this form. The information you provide does not obligate you in any way to contribute for a gift annuity. It will simply allow KRCB to prepare an annuity illustration for you. The illustration will show the amount of annuity payments you would receive and the tax benefits available to you.

   Names and dates of birth of annuitants (those who will receive annuity payments):