Perpetual Friends Enrollment Form

Name(s)

Address

City

State

Zip Code

Telephone (home/cell)

Birthday(s)

Yes, please enroll me as a Perpetual Friend. I would like my name to appear as:

I prefer to remain anonymous

Date:

My/our gift to the Franciscan Sisters of Perpetual Adoration is in the following form:

Type of Provision:
Bequest
Trust under will
Retirement plan beneficiary
Life insurance beneficiary
Charitable remainder trust

If your gift is to benefit a particular FSPA-sponsored program, please specify:

Please send me sample bequest language for my attorney or financial planner.

To submit this form, simply select the Submit button in the lower right corner. If you prefer, you may print and mail this form to:

Director of Development
Franciscan Sisters of Perpetual Adoration
912 Market St.
La Crosse, WI 54601
(608) 791-5281
development@fspa.org

The information on this form will be held in strictest confidence and placed in secure confidential files