Gift Intention Form

NMDP: Gift Intention Form
I/we have made a provision to leave a legacy to NMDP through my/our:

If you selected "Other" or would like to share the value of your gift, please contact Amy Bigot at (763) 406-8725 | Toll Free: (800) 507-54271 or amy.bigot@nmdp.org.

Please use my gift for the following purpose(s):
Membership listing (please check one):

Please list me / us as follows:

By signing this member profile, I reaffirm my commitment to NMDP. However, this letter shall not be binding upon my estate, and the information contained herein shall be used for NMDP purposes only.

Digital Signature

The information you share will be kept strictly confidential. By completing this form, you may receive communication and planned giving email news from NMDP. You can unsubscribe any time.