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IRA Rollover Gift

I have requested a qualified charitable distribution from my Individual Retirement Account payable to Hood College.

  • *Amount:
  • *IRA administrator :  
  • *Please direct my gift to:
  • If other is chosen, please specify:

  • *First name:
  • Birth name:
  • *Last name:

  • *Address I:
  • Address II:
  •  
  • *City:  
  • *State:  
  • *ZIP:  
  • *Phone:
  • Email:
  • Class year:
  •