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The Joseph Lee Heywood Society — Member Profile

Please fill out the form below to send us your Member Profile, so that we may welcome you into the Joseph Lee Heywood Society.

Please note: All highlighted and starred (*) fields are required.

Name(s): *
Date of Birth:
Date of Birth (Spouse):
Address: *
City/State/Zip: *
Country:
Telephone:
E-Mail:

Please choose one:
	Carleton may include my (and, if applicable, my spouse's) name in the Joseph Lee Heywood Society listings. (Neither amount nor designation, if provided, will be included on the listing.)
	I am honored to be included in the Joseph Lee Heywood Society; however, I prefer to remain anonymous. Please do not include my/our name in the Joseph Lee Heywood Society listings.

Please tell us, in confidence, more about your estate provision for Carleton College. The following information is optional.

I have named Carleton College as a beneficiary of my:

	Will/Trust
	IRA or Retirement Plan
	Life Insurance Policy
	Charitable Remainder Trust
	Other (please specify):

This provision is stated as a:

	Specific dollar amount ($):
	Percentage of estate/account (%):

If based on a percentage, please estimate the current
value of the gift to Carleton College ($):

My gift is:

	Unrestricted (General Operations)
	Designated for:

The material presented on this Planned Giving website is not offered as legal or tax advice.
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