Joining the Denstone 1868 Society

If you decide to leave a legacy to the Denstone Foundation in your Will, or already have done so, we would like to invite you to join the Denstone 1868 Society and would ask you to complete and return this form to us. This information will be treated in strictest confidence and does not involve you in any legally binding obligations. It is simply a statement of your present intentions.

Donors who notify Denstone that they have left a legacy to The Denstone Foundation will be recognised as members of the Denstone 1868 Society. If you would prefer to remain anonymous please tick here.

Title

Other title *

First name *

Preferred first name

Middle name

Last name *

Previous last name

Suffix 1

Suffix 2

Pronouns

Custom Pronouns

Address type

Address line 1 *

Address line 2

Address line 3

County/ state

City *

Country *

Post code *

Email type 1

Email 1 *

Email type 2

Email 2

Email type 3

Email 3

Phone type

Phone country code *

Phone area code

Phone number *

Is there any other information you would like to tell us about your bequest?

Yeargroups from - to

—

Please tick the appropriate box

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Joining the Denstone 1868 Society

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