Thank you for your interest in the ADW Lifetime Partners Society

You can complete the form on this page below and it will go directly to our CEO.
Or download a PDF of the form at the button below and send it to Assistance Dogs of the West, PO Box 31027, Santa Fe, NM 87594

Declaration of Intent Form PDF

If you’d like to talk to someone directly about joining the ADW Lifetime Partners Society or legacy giving in general, please give us a shout at 505-986-9748 or email Linda Milanesi at linda@assistancedogsofthewest.org.

Thank you for making us aware of your intention to include Assistance Dogs of the West (ADW) in your estate plans. Please complete this form with as much detail as you are willing to share. Any information about your gift will remain confidential and does not create a binding obligation.

New Intention

Updated Intention

Name/Spouse Name, If Joint:

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

TELL US ABOUT YOUR PLANNED/DEFERRED GIFT

I/We have provided a gift to the Assistance Dogs of the West as set forth in my/our:

Other Asset(s) (please describe):

Assistance Dogs of the West is a contingent beneficiary of the indicated asset above (please explain):

The current estimated value of my/our gift is:

What percentage of the asset indicated above is your gift to Assistance Dogs of the West?

If a percentage is given, what is the current estimated value of the percentage in today’s dollars?

My gift is considered revocable.

Yes

I/We direct ADW to use the proceeds of this gift to support its full mission.

Yes

No, I have specific intentions for the proceeds of this gift:

If your answer is No, please explain your intentions.

MAY WE RECOGNIZE YOU?

Donors who provide a planned gift to benefit Assistance Dogs of the West will be recognized in the ADW Lifetime Partners Society based upon their approval below:

I/We prefer no public recognition.

Yes

Please list my/our name(s) as follows:

Please share a few thoughts about why you’ve made this commitment so that we may include in future ADW Lifetime Partners Society communications, as a source of inspiration to others:

ESTATE CONTACT INFORMATION:

Although optional, the following information is very helpful.

Name of Executor, Trustee (if your gift is through a Will, Trust):

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Name of Administering Company (if your gift is through a retirement account or life insurance policy):

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

ADDITIONAL CONTACT

Anyone else you might like us to know such as family members, your attorney(s), etc.

NAME(S)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

I/We understand this form does not create a binding obligation and any details about my/our gift will remain confidential. Assistance Dogs of the West understands the size of my/our future gift may change:

Spouse's Signature (If joint):

Date

YYYY

Assistance Dogs of the West
P.O. Box 31027 | Santa Fe, NM 87594

Physical Address: 1590 San Mateo Lane | Santa Fe, NM 87505

phone: 505.986.9748 | fax: 505.989.9640
info@assistancedogsofthewest.org

Office Hours:
Monday - Friday 9:00 am – 4:30 pm

Lifetime Partners Declaration Intent

DECLARATION OF INTENT

Thank you for your interest in the ADW Lifetime Partners Society

If you’d like to talk to someone directly about joining the ADW Lifetime Partners Society or legacy giving in general, please give us a shout at 505-986-9748 or email Linda Milanesi at linda@assistancedogsofthewest.org.

Thank you for you interest in ADW Lifetime Partners Society! We will be in contact soon.