I/we are pleased to be members of the Ambassador Society:

____ You have my/our permission to be included in the annual listing of
     Ambassador Society members.
____ I/We prefer to remain anonymous.

As regards estate planning,
____ I/we have included Holland Community Foundation in my/our estate
     planning.

I/we would like to have information on:
____ Developing an estate plan
____ Making a gift that is deductible now but provides income during my/our 
     lifetime
____ Making a gift of income now but having the income-producing assets go to
     my/our family at my/our death.
____ Establishing a named fund at Holland Community Foundation.
____ Making a charitable gift other than cash.

Signature ____________________________________Date________________

Name(s) as it should be listed
_________________________________________________________________

Address__________________________________________________________

City_____________________________________Telephone_______________

State____________________________________ZIP_____________________