Chai Society Intent Statement

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First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number

I/We have included PSJC in our estate plans.

Months

I/We have included a provision in my/our:

Other:

My/Our legacy gifts in the approximate

Amount

Percentage

You may include my/our names publicly in the Chai Society as:

Or I/we prefer to be listed anonymously.

We thank you for your generosity.

Sun, November 2 2025 11 Cheshvan 5786

1320 8th Avenue ♦ Brooklyn, NY 11215 ♦ 718.768.1453 ♦ office@psjc.org