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.
Federated States of Micronesia
Northern Mariana Islands
Newfoundland and Labrador
Prince Edward Island
Zip or Postal Code
Preferred Phone Type
Date of Birth
Spouse / Partner First Name (If Applicable)
Spouse / Partner Last Name (If Applicable)
Spouse / Partner Date of Birth (If Applicable)
have included MPR in my/our estate plan.
would like to receive information about planned giving and the MPR Legacy Society
am/are interested in learning about gift options that will provide me/us with income
The gift is in my/our:
Life insurance policy
Charitable remainder trust
Please enter the approximate value of your future gift if it were to be realized today.
(NOTE: MPR Legacy Society listings will never reference your gift amount. We understand that this amount can change over time, or may be revoked. Unless otherwise designated, Legacy Society gifts count toward the MPR|APM Campaign.)
Please enroll me/us in the Legacy Society as follows:
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Do not publish my/our name(s) on the Legacy Society roster.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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