Wildlife Inspired Lasting Legacies

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W.I.L.L. You Answer the Call?

Name(s) *

Phone Number *

(Please indicate Home, Work or Cell)

Address *

City *

State *

Zip Code *

E-Mail

I (we) accept membership in the W.I.L.L.

I (we) have included FWH in our will or living trust

I (we) have named FWH beneficiary of a retirement account, insurance policy ordeferred annuity.

I (we) have made other estate provisions for FWH.

Gift Description

(Copies of documents where FWH is named to receive a gift is appreciated but not required)

Approximate value of the gift at this time:

Not Required

I (we) would like our gift applied: Other

Animal care only

Where the Executive Director and Board of Directors sees fit

Other:

I (we) would like to remain anonymous in all lists and publications.

Yes

Clear selection

I understand this is not a legally binding document. *

Please sign by electronically typing your name.

A copy of the official registration and financial information for Florida Wildlife Hospital & Sanctuary, Inc., a Florida-based nonprofit corporation (Registration#CH828) may be obtained from the Division of Consumer Services by calling the toll free 1-800-HELP-FL (435-7352) within the state or by visiting their websitehttp://www.800helpfl.com. Registration does not imply endorsement, approval or recommendation by the State.

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