If you would like to leave a legacy to Viva!, it will be of enormous help to us in planning for the future if you would let us know the nature of your gift. This pledge is only a declaration of your current intentions and is in no way binding! My gift to Viva! is in the form of the entire residue of my Estate part of the residue of my Estate a percentage of my Estate a cash gift (pecuniary legacy), please give details below a non-money specific gift of asset(s), please give details below Cash gift (pecuniary legacy) amount If you would like to leave us a cash gift (pecuniary legacy), it would be helpful for us to know how much you would like to leave Details of non-money gift Please give us details of any non-money specific gift of assets you would like to give. I have now included Viva! in my Will I have not yet included Viva! in my Will, or made a Will, but intend to do so Title First Name Surname Address Postcode Tel Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20112012201320142015 Email Word verification * (verify using audio) Type the characters you see in the picture above; if you can't read them, submit the form and a new image will be generated. Not case sensitive.