Sign Up as a Participating Charity
Participation Agreement
Please complete this form and click on "submit form" below.
To download a copy of this form to mail or fax, click here.
My organization endorses the LEAVE A LEGACY® Georgia initiative. We will participate in the following ways:
(Please note: If you participate in at least 2 of the following ways, your
organization will be listed on the LEAVE A LEGACY® Georgia web site. Proof of charitable 501c3 status will be required.)
Arrange For A Speaker
Arrange for a speaker to come and educate our staff, Board of Directors or members about planned giving. (See separate speaker request form for more information)
Publish A News Article
Publish the LEAVE A LEGACY® Georgia news article in our organizational newsletter.
Reproduce Logo
Reproduce the LEAVE A LEGACY® Georgia logo slick in our publications.
Distribute Brochures
Distribute Leave a Legacy brochures to our constituency in person or through a mailing.
I would like to order brochures at 25 cents each (minimum order of 100). Please make checks payable to:
LEAVE A LEGACY® Georgia, 1260 Winchester Parkway, Suite 205, Smyrna, Georgia, 30080.
Show Video
Show the 5 minute LEAVE A LEGACY® video/CD to potential donors, our staff or Board of Directors.
Please check the following box if you would like a copy of the video/CD:
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