Ursa Major Society - Intent To Give

Ursa Major Society - Estate Gift Intention Form
Please use this form to share the details of your estate plan intentions for The Friends of the Sleeping Bear Dunes. This is for informational purposes only, and your estate is not legally bound by submitting this form.

*This information will be held in the strictest confidence.*
Name:

First NameLast Name
Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name:

First NameLast Name
Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Address:

Street Address

Street Address Line 2

CityState

Zip Code
Phone:
Format: (000) 000-0000.
E-mail:
example@example.com
I/we wish to inform you of my/our estate plan intentions.
The estimated value of my/our gift is presently $
OR the percentage
In the form of:
I/we designate this gift to be used for:
RECOGNITION
Print name(s) as you wish to have it/them appear in a published list:
OR
Stay anonymous
Signature
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Ursa Major Society - Estate Gift Intention Form