Legion of Loyalty Confidential Membership Form

Legion of Loyalty Confidential Membership Form

Welcome to the Legion of Loyalty Society that recognizes all those who have included Cedar Crest College in their long-term plans through a bequest provision in their will, trust, a life-income gift or other deferred gift.
Contact Information

Filling out the information below permits Heather Ennis, Director of Philanthropy, to contact you with any questions or additional information needed for your membership.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
For any questions regarding your planned gift, please contact Heather Ennis, Director of Philanthropy, at Heather.Ennis@cedarcrest.edu or 484-229-4563.

Documentation and Authorization
Documentation
If your documentation is available now, please upload it here. If you choose to send us a physical copy, please mail it to Cedar Crest College Institutional Advancement at 100 College Drive, Allentown, PA 18104.

Cancelof
Executor or Attorney Name

First NameLast Name
Executor or Attorney Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Executor or Attorney Email
example@example.com
Authorization for Use of Name
Signatures
I/we authorize that all the above information is true and correct to the best of my/our knowledge.
Date of Signature

MonthDayYear
Date
Date of Signature

MonthDayYear
Date
For any questions regarding your planned gift, please contact Heather Ennis, Director of Philanthropy, at Heather.Ennis@cedarcrest.edu or 484-229-4563.
Should be Empty:

Contact Information