Charitable Bequest Intention Form - Preservation Connecticut

Charitable Bequest Intention Form

Please use this form to share the details of your bequest intentions. In recognition of your disclosure, we are honored to invite you to join our Legacy Society, a select group of our closest friends who have named Preservation Connecticut as a beneficiary in their estate plans.

This form is for informational purposes only. Your estate is not legally bound by submitting this statement. Your intentions remain revocable and can be modified at any time. This information will be held in strict confidence.

Name *

First

Last

of Society your

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone

Please indicate the type of your planned gift (optional, but encouraged)

Legacy Society

Yes, list my/our name as a member of Preservation Connecticut's Legacy Society
No, I/we prefer that my/our intentions remain anonymous

Donor Name(s)

Preservation Connecticut staff will contact you upon completion of this form.