Planned Giving Pledge Form

Thank you for your commitment to leaving a legacy with 84000! A planned gift represents a timeless investment in the mission of 84000. Your generosity plays a pivotal role in safeguarding this invaluable heritage and enabling free global access to the teachings of the Buddha, thereby supporting future scholarship, study, and practice.

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Name *

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Country/Region *AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFederated States of MicronesiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSt. LuciaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe

It is my/our plan to leave a legacy gift(s) to 84000 through the following (multiple selection) *

• Will
• Beneficiary Designation (Retirement Plan/IRA)
• Beneficiary Designation (Insurance)
• Beneficiary Designation (Bank Account)
• Others

If you selected "others", kindly share more details below.

(Note: This information is for 84000's planning purposes and is not legally binding) As of this date, I/we anticipate the value of our planned gift to 84000 to be approximately (US$)

84000 would like to recognize our legacy supporters by including your name in the Legacy Circle list on our website and in our annual reports in order to inspire others to give. (Note: The amount of your gift remains confidential) *

• Yes, I/we would like to be listed, with the hope that we may inspire others to give
• No, I/we would like to remain anonymous

Any other details that you wish to share about your planned gift(s)

Name and contact (email/phone) of advisor to this planned gift(s)

Purpose of the planned giving to 84000 *

• The gift is unrestricted to provide maximum flexibility for 84000
• I have a specific purpose in mind that I would like to discuss with you

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