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The Grinnell Legacy Society Member Profile

Please fill out the form below to send us your member profile to be included into The Grinnell Legacy Society.

* Indicates a required field

Name(s): *
Address: *
City/State/Zip: *

Please check one:

The National Audubon Society may include my (and, if applicable, my spouse’s) name in the Grinnell Legacy Society listings. (Neither amount nor designation, if provided, will be included on the listing.)
Please list me / us as follows:
I am honored to be included in the Grinnell Legacy Society; however, I prefer to remain anonymous. Please do not include my/our name in the Grinnell Legacy Society listings.

The following information is optional:

Please tell us more about your estate provision for the National Audubon Society.

I have named the National Audubon Society as a beneficiary of my:

Will/trust for:
a specified amount
a specified percentage
Life Insurance Policy
Charitable trust as remainderman
IRA or retirement plan    
Other (please specify):

My gift is:

Unrestricted Designated for:
Estimated current value as of (date)

We’re Here To Help! Please contact us for further assistance.

Office of Gift Planning
National Audubon Society
225 Varick Street, 7th Floor
New York, NY 10014