Catholic Legacy Society Member Survey
Questions that require an answer are marked with  *
1 * First Name:
2 * Last Name:
3 * Spouse First Name:
4 * Address, City, State, Zip
5 * Phone Number:
6 Email:
7 Parish:
8 Birthday: Please list month/date/year
9 * Please describe your planned gift (bequest in will, life insuarance policy, etc.)
10 * Please share your reasons for making the gift.
11 I am willing to have my planned gift featured in an upcoming publication as a way to educate and inform other of ways to give.
12 I am interested in obtaining more information about a type of gift that can pay me a fixed income for my life.
13 Have you completed pre-need burial planning?
14 Are you interested in any of the following? You may select more then one answer.

15 * Names are published in the CFNEK Annual Report, do you wish to be published?