AOPA FOUNDATION LEGACY SOCIETY MEMBERSHIP FORM

To join the AOPA Foundation Legacy Society, we need only a simple written notice documenting your future gift. It is helpful, but not required, for the AOPA Foundation to receive a copy of the relevant section(s) of your will or other documents. The information collected on this form is not a binding commitment and you retain the right to change or revoke your gift at any time with or without notice to the AOPA Foundation. The information you provide is confidential.

Required

AOPA Member Number (Optional) Title First Name Last Name Street Address City State Zip Code Phone Number (Optional) Email

Please select your recognition preference:

I prefer to be an anonymous member of the AOPA Foundation Legacy Society I authorize the AOPA Foundation to list my name on the Legacy Wall in Legacy Court in printed public

Please list my name as

Optional Information - Please tell us about your legacy gift:

I have included the AOPA Foundation in my will or trust.

Description of gift (e.g., dollar amount, percentage of estate, contingent bequest, or bequest ofproperty, such as an aircraft): Amount or estimated value (when you complete this section, a gift of 10% of the value of your planned gift, up to $20,000, will be activated through our Legacy Challenge.)

I have included the AOPA Foundation in another type of planned gift as part of my overall charitable, financial, and estate planning.

Description of gift (e.g., beneficiary of a bank account, retirement plan, or life insurance policy,charitable remainder trust, annuity, interest in real property, or other type of planned gift): Amount or estimated value (when you complete this section, a gift of 10% of the value of your planned gift, up to $20,000, will be activated through our Legacy Challenge.)

By submitting this form I verify that I have included a legacy gift to the AOPA Foundation in my estate plans.