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AAFP FND | Family Medicine Legacy Society Member Information

Family Medicine Legacy Society Member Information

As an indication of my/our desire to support the future of family medicine and the health of those served by the specialty, I/we have made an estate provision for the AAFP Foundation.

1. Description of gift

2. Other:

2. Estimated value of this gift A good faith estimate is sufficient. I understand that by stating a number, my/our estate is not legally bound to this amount and the estate can be amended at any time at my/our sole discretion.

3. I/we are willing to provide the AAFP Foundation a copy of the portion of my/our will or other instrument that pertains to this gift.

Professional or organization in charge of executing this provision:

4. Name

5. Organization

6. Phone Number

7. Email This question requires a valid email address.

8. Purpose of Gift

9. Existing AAFP Foundation program or endowment:

9. Recognition

10. When published, I/we would like to be listed as follows:

10. How I prefer to be listed:

Confirmation of Member Information and FM Legacy Society Membership:

10. Donor Signature

11. Donor(s) name (print)

12. Full Address

13. Phone

Thank you for your investment in the AAFP Foundation. If you have any questions, please contact your Family Medicine Legacy League representative, Mike Armstrong (marmstrong@aafp.org) or Heather Palmer, Executive Director (hpalmer@aafp.org)

The AAFP Foundation is a 501(c)(3) organization. As such, gifts are eligible as tax-deductible charitable contributions as and to the extent allowed by federal law. To determine your eligibility, you should seek advice from your attorney or tax accountant.