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
   
 Husband:
 Wife:
   
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?