Take a moment now to tell us a bit about your interest in PIH Canada in this quick questionnaire.

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* 1. Contact Information

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* 2. Many PIH supporters have chosen to leave a future gift to PIH Canada. Would you consider a future gift in your estate plans (including your retirement account, will, trust, life insurance policy, etc.)?

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* 3. Would you consider making a gift to PIH Canada using a charitable gift annuity, while at the same time securing guaranteed income for life?

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* 4. Which of the following priorities / global health issues most interest you? (Check all that apply)

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* 5. What or who inspired you to support PIH Canada?