Gift Intention Form

@[OrgName]: Gift Intention Form
I/we have made a provision to leave a legacy to @[OrgName] through my/our:

If you selected "Other" or would like to share the value of your gift, please contact @[Contact] at @[Phone] or @[Email].

Please use my gift for the following purpose(s):
Membership listing (please check one):

Please list me / us as follows:

By signing this member profile, I reaffirm my commitment to @[OrgName]. However, this letter shall not be binding upon my estate, and the information contained herein shall be used for @[OrgName] purposes only.

Digital Signature

The information you share will be kept strictly confidential. By completing this form, you may receive communication and planned giving email news from @[OrgName]. You can unsubscribe any time.

eBrochure Request Form

Please provide the following information to view the brochure.

First name is required
Last Name is required
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