Legacy form

Legacy Society Intention Form

In Support of Ark-Valley Humane Society

I confirm that I have established a bequest or other deferred gift provision for the benefit of Ark-Valley Humane Society. I understand that information disclosed on this form will be held in confidence and that my gift provision remains completely revocable and at my discretion.

Max. file size: 64 MB.
All estate gifts are placed in the Ark-Valley Humane Society Board Restricted Reserve Fund, unless otherwise designated.(Required)
Please select all that apply(Required)
MM slash DD slash YYYY

For legal and tax purposes, the AVHS tax ID# is 84-1161648 and our legal name is Ark-Valley Humane Society, Inc.