Join the Legacy Society
Complete the Will or Estate Plan Gift Confirmation Form below and our Development Officer, Jeannie, will contact you shortly.
Will or Revocable Trust?
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My bequest is listed as a percentage of my estate.
My bequest is listed as a specific dollar amount.
Name of Executor and Trustee:
*
I estimate the current value of this deferred gift to be:
*
Special Instructions (if applicable)
Donor Recognition | I [We] would be pleased to be acknowledged as members of the MontanaPBS Legacy Society as follows:
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Donors agree that their names may be publicly recognized in connection with this intention (print and electronic media).
Donors agree that the amount of their gift may be publicly recognized in connection with this intention (print and electronic media).
Donors wish to remain anonymous.
Donors prefer not to be publicly acknowledged as members of the Legacy Society, but will accept other benefits of membership.
For gift recognition purposes, please list my name as:
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I understand that this document does not represent a legal or binding commitment and that the amount listed above is an estimate. Answering yes acknowledges your receipt of this statement.
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Yes
I understand that...
This document does not represent a legal or binding commitment and that the amount listed above is an estimate.
Name
First Name
Last Name
Signature
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
How did you hear about MTPBS Legacy Society
Please Select
Email
Letter
Word of Mouth
Social Media
MTPBS Viewer's Guide
Other
Other
Submit
Should be Empty: