DECLARATION OF INTENT FORM

NLEOMF 2022
Your planned gift to the National Law Enforcement Memorial Fund will have a lasting impact on our ability to honor fallen officers and maintain the hallowed grounds of the Memorial, tell the story of American law enforcement, and make it safer for those who serve – thank you!

When you create a planned gift, you may be recognized as a member of our Circle of Valor—a special group of visionary individuals who have included the Memorial Fund in their long-term financial and estate plans. Our members are insightful leaders who inspire others to consider a planned gift.

Fill out the form to submit instantly or download and print the Declaration of Intent Form and email it to: [email protected].

DOWNLOAD FORM

NLEOMF Declaration of Intent Form

Name(Required)
(Please enter name(s) as you wish it to appear in Circle of Valor donor listings.)
Name

Address(Required)

DECLARATION OF INTENT(This document is not legally binding.)
If possible, please provide either a copy of the relevant legal document(s) in which your gift is described, or a letter from you or your financial or legal advisor describing your legacy gift to the Memorial Fund.
I / We have arranged for the National Law Enforcement Officers Memorial Fund, Inc. to be a beneficiary of:(Required)
CIRCLE OF VALOR RECOGNITION(Required)
As a Circle of Valor member, you will receive:
  • • Acknowledgement on our website and in our publications
  • • Invitation to our CEO briefing
  • • Email updates from the National Law Enforcement Officers Memorial Fund

Clear Signature
MM slash DD slash YYYY

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