Legacy Society Member Profile

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

* Indicates a required field

Prefix
First Name: * MI
Last Name: *
Address: *
City/State/Zip: *
Telephone:
E-Mail: *

Please check one:

may include my (and, if applicable, my spouse's) name in 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 Legacy Society, however I prefer to remain anonymous. Please do not include my/our name in Legacy Society listings.

The following information is optional:

Please tell us more about your estate provision for American Red Cross.

I have named American Red Cross 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)