Our Legacy Society — Member Profile
Please fill out the form below to send us your Member Profile, so that we may welcome you into .
Please note:
All highlighted and starred (*) fields are required.
Name(s): *
Age:
Age (Spouse):
Address: *
City/State/Zip: *
Country:
Telephone: *
E-Mail: *
Choose Below:
may include my (and, if applicable, my spouse's) name in listings. (Neither amount nor designation, if provided, will be included on the listing.)
I am honored to be included in ; however, I prefer to remain anonymous. Please do not include my/our name in listings.
Please share with us, in confidence, more about your estate provision for Diocese of Worcester. The following information is optional.
I have named as a beneficiary of my:
This provision is stated as a:
Specific dollar amount ($):
Percentage of estate/account (%):
Based on Percentage:
If based on a percentage, please estimate the current value of the gift to ($):
My gift is:
Unrestricted (General Operations)
Designated for: