Confidential Statement of Intent

 

If you prefer to mail or fax in this form, please click here for the printable version.

 

Contact Information

Name(s)*: A value is required.
Address*: A value is required.
City/Town*: A value is required.
Phone*:
E-mail*: A value is required.Invalid format.

I give the MS Society permission to contact me by e-mail.
Province*:
Postal Code*:

Your Legacy

The nature of my/our legacy gift is as follows:

My/our will contains a bequest of $ or % of the residue of my/our estate.

I/we have named the MS Society of Canada as the:
Beneficiary of a in the amount of $
Owner and beneficiary of a life insurance policy in the amount of $


Gift Recognition

Welcome to the Evelyn Opal Society – a unique group of individuals who have all created a legacy to a future free from MS. We would love to recognize your generosity in our publications. Please note that the nature and the amount of the gift will remain confidential.