Legacy Society Information Form

Thank you for your interest in planned giving and the Minnesota Public Radio Legacy Society. We are honored that you value our programming and are interested in ensuring our excellence for future generations through your planned gifts. Please complete the form below.

Contact Information

First Name

Last Name

Address

City

State

Zip or Postal Code

Email Address

Preferred Phone Type

Preferred Phone

Do not clear placeholder values; simply type phone number directly.

Date of Birth

Spouse / Partner First Name (If Applicable)

Spouse / Partner Last Name (If Applicable)

Spouse / Partner Date of Birth (If Applicable)

YES!

I/We:

have included MPR in my/our estate plan.would like to receive information about planned giving and the MPR Legacy Societyam/are interested in learning about gift options that will provide me/us with income

The gift is in my/our:

WillRevocable trustRetirement accountLife insurance policyCharitable remainder trustOther

Please enter the approximate value of your future gift if it were to be realized today.

Please enter a number.

(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:

Select One:

Feel free to publish my/our name(s) among your lists of Legacy Society members.

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

Do not publish my/our name(s) on the Legacy Society roster. I/we prefer to be listed as "anonymous."

Gift designation and/or any comments on why you decided to make MPR part of your legacy.

Thank you. We are grateful for your support!

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