New Canaan Land Trust · Evergreen Society Pledge Form

STATEMENT OF INTENT

Name

*

First Name

Last Name

Please recognize me as a member of the Evergreen Society in the following way:

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(Optional) Name for recognition purposes, if different from above:

First Name

Last Name

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Email

*

Verify Email

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I would like to be interviewed about my story so that my example may inspire others

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Yes

No

I intend to include the NCLT in my will or estate planning through:

*

Other (please specify):

I wish for my gift to be directed towards:

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Other (please specify):

Optional: Comments, specific instructions: