DECLARATION OF INTENT
First Name *
Last Name *
As an expression of my commitment to the mision of Twin Cities Public Television, Inc., I/we take pleasure in declaring my/our intention to help provide for future needs with a gift to Twin Cities PBS through:
A life insurance policy
Charitable gift annuity
A trust agreement
A retirement plan
Though this letter of intent is an expression of current plans, I/we understand that I/we may modify or revoke it at any time and that it is not a legal obligation binding me/us or my/our estate.
I/we authorize Twin Cities Public Television, Inc. to list the following name(s) as members of the Visionary Society.
Please type name(s) as you would like it/them to appear.
I/we have made a provision for a gift, but prefer confidentiality and wish to be an anonymous member of the Visionary Society.