Jimmy Love Legacy Circle

Membership Form

I/we desire to provide for the future well-being of Muttville through a provision in my/our estate plans, and with this letter we are informing Muttville of our plans. I/we understand that this future commitment can be revoked or modified by me/us at any time.

Muttville: Complete the form to join
I/we have made a provision to leave a legacy to Muttville through my/our:

  $ .
(This amount is kept confidential; if your gift is a percentage of your estate, please indicate the approximate value.) I/we understand that by stating an amount, my/our estate is not legally bound by the statement and that I/we may choose to add, subtract or revoke this bequest at any time, at my/our sole discretion.

Membership listing (please select one):
Digital Signature

Input your name(s) below to sign the form.