Survey - Gift Notification Form - Best Friends Animal Society

Thank you for your dedication to ending the killing of homeless dogs and cats in shelters nationwide. We are forever grateful to you for saving lives now and well into the future.

This form serves as notification of your intention to make a gift from your IRA or DAF or a gift of stock to Best Friends Animal Society. Please provide as much detail as possible so that we are made aware of your gift and are able to accurately identify, allocate and acknowledge your generosity.

Please provide your contact info.


*	First Name: Required
*	Last Name: Required
*	Email: Required
*	Street 1: Required
*	City: Required
*	State / Province: Required
*	ZIP / Postal Code: Required
*	Country: Required
	Phone Number:
	Yes, I would like to receive email from Best Friends Animal Society
	Yes, I would like to receive postal mail from Best Friends Animal Society

*

Question - Required - What type of gift is this?

Question - Not Required - Name of the financial institution/brokerage:

Question - Not Required - If you selected DAF or IRA, please provide the amount and the anticipated date sent.

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - If you selected "Stock or securities," please provide the name of stock or securities, number of shares, and anticipated date sent.

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - Please feel free to share any additional information or comments below.

(Maximum response 255 chars, approx. 5 rows of text)

For additional assistance or if you have questions, please contact donations@bestfriends.org or 435-644-2001.