This form is evidence of your desire to provide a legacy of support to Southern Illinois University and to inform the Southern Illinois University Foundation that you have made provision for a gift to the University in your estate plan. This commitment can be revoked and/or modified by you at any time.


Complete the form with all possible information, sign, and send to the Foundation Springfield Office or give to your development officer.

Southern Illinois University Foundation Springfield Office
PO Box 19666
Springfield, IL 62794-9666


Form Download