Your Legacy Gift Agreement

Name *

First

Last

Name of Spouse (if applicable)

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Email *

Home Phone *

Cell Phone *

Birthdate:

What are your plans? *

I have already made a legacy gift to Moorelands Community Services
I intend to make a legacy gift to Moorelands Community Services

Details of your plans will help us plan for the future. If you wish to share, please indicate what kind of gift are you planning: *

Specify details for "Other gift"

If you chose "other gift", please let us know what form your gift will take.

Optional: My Legacy Gift is in Honour / Memory of:

If your legacy gift will be in honour of, or in memory of someone, please let us know their name here.

Recognition of Your Gift

With your permission, we would like to include your name as a member of the 1912 Club, which recognizes donors of future bequests and legacy gifts. By letting others know of your generosity and affection for Moorelands Kids they may be inspired to take similar action.

Individuals and families who indicate that a legacy gift has been included in their estate plans will be invited to attend 1912 Club appreciation events. They will also be included on our donor wall as well as other exclusive opportunities for appreciation and acknowledgement.

Your Choice in Gift Recognition *

Anonymous
My / our name(s) should appear as stated below:

I would like my name, as a member of the 1912 Club, to be listed as: *

Signature (s) *

Clear Signature

Since the majority of bequests and legacy gifts are designated to the general operating needs of Moorelands Kids, we would like to ensure that if this is NOT your intent - we are made aware in advance of any specific designation to a program or camp in order to ensure that your wishes will be carried out.

Date *

Alternately, if there is another area that you may be interested in supporting, we would be pleased to discuss this with you and answer any questions you may have.

Comment Box

Your Legacy Gift Agreement

Moorelands Community Services / Moorelands Kids

The 1912 Club: Legacy Gift and Recognition Information Form

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