Mather Legacy Society Member Profile

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

* Indicates a required field

Name(s): *
 
Address: *
City/State/Zip: *
Telephone:
E-Mail:

Please check one:
National Parks Conservation Association may include my (and, if applicable, my spouse’s) name in Mather 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 Mather Legacy Society, however I prefer to remain anonymous. Please do not include my/our name in Mather Legacy Society listings.

The following information is optional:

Please tell us more about your estate provision for National Parks Conservation Association .

I have named National Parks Conservation Association 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):

 

Estimated current value as of (date)