Legacy Society Information Form | Minnesota Public Radio

First Name *

Last Name *

Street Address *

City *

State *

Postal Code *

E-mail *

Phone

Date of birth:

Spouse/partner name (if applicable):

Spouse/partner date of birth:

Please send me information about planned giving and the MPR Legacy Society.
I am interested in learning about charitable planning options that will provide me with income.
I/We have included MPR in my/our estate plan.

The gift is in my/our:

Will
Revocable trust
Retirement account
Life insurance policy
Charitable remainder trust
Other

Please enter the approximate value of your future gift if it were to be realized today. (NOTE: MPR Legacy Society listings will never reference your gift amount. We understand that this amount can change over time, or may be revoked.)

Please enroll me/us in the Legacy Society as follows:

Feel free to publish my/our name(s) among your lists of Legacy Society members as motivation for others to leave a future gift to benefit Minnesota Public Radio.
Do not publish my/our name(s) on the Legacy Society roster. I/we prefer to be listed as "anonymous."

I/we wish my/our name(s) to appear as (for example, Jane D. and John Q. Doe):

Thank you

You must be 13 or older to submit information to Minnesota Public Radio. MPR will not sell or share your personal information.

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