Legacy Circle Membership Form

Your Information

First and Last Name *

Birth Date *

Lawrence Class Year

Milwaukee-Downer Class Year

Other Affiliation

Parent of Student/Alumni

Friend of Lawrence

Spouse/Partner Information

First and Last Name

Birth Date

Lawrence Class Year

Milwaukee-Downer Class Year

Other Affiliation

Parent of Student/Alumni

Friend of Lawrence

Contact Information

Street Address *

City *

State/Province *

Zip/Postal Code *

Country *

Home Phone

Work Phone

Cell Phone

Preferred E-mail *

Please choose a designation for your legacy *

The Lawrence Fund

Milwaukee-Downer Sesquicentennial Scholarship

Björklunden

Name an endowed fund (legacies of $100,000 or more)

Bolster an existing fund

Let Lawrence leaders decide your legacy's best use

Have a Lawrence respresentative contact you to discuss

Name of fund

Arrangement for your legacy gift *

Inclusion in will/trust

Beneficiary of retirement account (IRA, 401k, 403b, etc.)

Beneficiary of life insurance policy

Other

If Other, please explain

Is this provision conditional/contingent? *

Yes

If yes, please explain

Estimated amount of provision

Please choose one of the following *

Lawrence has permission to print your name(s) on the Lawrence-Downer Legacy Circle roster

You would prefer to have your legacy recognized as "Anonymous"

In recognition of your legacy gift, please accept a Legacy Circle lapel pin *

Yes, please send me a magnetic pin

Yes, please send me a clutch-back pin

No thank you

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