Planned Giving Online Interest Form

91��ý

If you are considering a planned gift to 91��ý, or one of our divisions, round tables, offices or programs and would like to share this information with us, please complete the form below. If you prefer to communicate by email or on the phone, please contact the 91��ý Development Office at:

91��ý Development Office

91��ý

800.545.2433, ext. 3259

or 312.280.3259

development@ala.org

I am interested in learning more about joining the 91��ý Legacy Society through a planned or estate gift. Please contact me at the below listed information.

My Contact Information

91��ý Member ID (Optional)

Name

Street Address

City

State

ZIP Code

Phone

E-Mail

Please contact me about the following planned giving options:

Planned Giving Options:

Bequest

Life Insurance Policy

Retirement Plans (IRA, 401(k), 403(b), etc.)

Other / not sure yet

I prefer to be contacted by:

Preferred:

Mail

Phone

Notes: