We Will: MVRF’s Planned Giving Program

Interested in planned giving or have some questions? Please fill out the below form and we will contact you. Thank you!

Name*
First Last
Email
Phone*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you have macular degeneration? (OPTIONAL)
- Yes
- No
Are you a caregiver for someone who has macular degeneration? (OPTIONAL)
- Yes
- No
Which type of Planned Gifts are you interested in?*
- Bequest
- Charitable Gift Annuity
- Assets (Stocks/Bonds, Real Estate)
Please check all that apply.
Comments/Additional Information:

PlannedGivingContactForm