Legacy Society Interest Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Thank you for your interest in joining our Legacy Society and including Forsyth Humane Society in your plans. Would you like to be listed in our Legacy Society members list or would you like to remain anonymous? *Yes, please add my name to Legacy Society.Please do not list my name. I would like to remain anonymous.Please call me to discuss other options.This form is non-binding and does not constitute a legal promise of any future donation to Forsyth Humane Society. We understand that bequests are revocable and that your estate plans may change at any time. In order to support the mission of Forsyth Humane Society, I have included Forsyth Humane Society as beneficiary of my estate plan. Please check all that apply: *A gift to FHS in my will or trust.A gift of appreciated securitiesAn outright gift from my IRAA gift of real estateA gift to FHS as a beneficiary of a life insurance, DAF, retirement or other financial accountOther(Optional) My gift is stated as:A specific dollar amount: $___ or A percentage of gift: ___%My gift is in honor or memory of:I have named Forsyth Humane Society as a secondary (or contingent) beneficiary to receive a gift in the event of the prior passing of a partner, family member, or friend.YesNoI would like Forsyth Humane Society to care for my pets upon my passing. Please feel out the pet agreement form for each animal that you are requesting care.YesNoPlease call me to discuss this topics.Name *FirstLastPlease print your name(s) as you would like it to appear in any public recognition.Phone * By providing and opting in your number, you agree to receive text messages from Forsyth Humane Society about updates and reminders. Message and data rates may apply. Message frequency varies. Text STOP to unsubscribe or HELP for help. Consent is not a condition of any purchase or adoption. View our Privacy Policy. View our Privacy Policy. Email *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSignature:DateSubmit
