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 No 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" Will you share your legacy story in Lawrence publications? (if yes, someone will contact you) * Yes No 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 CAPTCHA This question is included to prevent automated spam submissions; it is not presented to logged-in users. Submit
