Heritage Club Online Form

Enroll in Heritage Club

Member Commitment
I / We have made a bequest to Kaweah Delta Hospital Foundation in the amount of $5,000 (per member)
I / We have named Kaweah Delta Hospital Foundation a beneficiary of my / our trust in the amount of $5,000 (per member)
I / We have named Kaweah Delta Hospital Foundation a beneficiary of our life insurance policy / policies in the amount of $5,000 (per member)
I / We prefer to make my Heritage Club gift to the Endowment Fund now.
Name of Insurance Company or Professional Advisor
Member Information
Member Recognition
For membership recognition please list my / our name/s as follows:
I / We prefer my/our membership to be anonymous; please do not include in printed lists of members.
I / We would like to receive a complimentary commemorative Heritage Club paperweight
The Heritage Club Membership Committee Member who invited me / us to join the Club is: