La Florida Society Pledge Form

La Florida Society Pledge Form
Thank you for joining the La Florida Society with a planned gift of $5,000 or more. Your intention to include Leadership Florida in your estate plan is an important step for our organization's long-term stability.

Please complete the information below to make your La Florida Society pledge.
I would like to:*

Make a pledgeUpdate my existing pledge information
Name of Person Making this Pledge*

First NameLast Name
Home Address of Person Making this Pledge*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number of Person Making this Pledge*
Please enter a valid phone number.
Email of Person Making this Pledge*
example@example.com
I hereby declare my intention to include Leadership Florida in my estate plan.
Please check the appropriate option:*

I have already included Leadership Florida in my estate plan.I plan to include Leadership Florida in my estate plan in the future.
Please indicate the type of planned gift you are considering or have already made:*
If other, please list:
Please indicate the value/current estimated value of your gift. To be included in the La Florida Society, this should be a minimum of $5,000.00.*
Please contact the person listed below or the executor of my estate at the time of collection.
Primary Contact Name

First NameLast Name
Primary Contact Email
example@example.com
Primary Contact Phone Number
Please enter a valid phone number.
Please provide any additional comments or questions you may have regarding your planned gift.
Signature*

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