Donor Intent Form

Membership in the Carl and Betty Erskine Society is extended to friends and supporters who make a commitment to the future of Special Olympics Indiana through their estate plans. We recognize that revocable gift plans could change. Completing the form below outlines your intent and is not a binding document.

Name*
First Last
Spouse's Name
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
As an indication of my/our support for Special Olympics Indiana, I/we have made a gift as follows:*
- Gift through my Will or Living Trust
- Gift of Stock
- Gift through my Retirement Plan, IRA, 401(k)
- Gift through a Life Insurance
I/We estimate that the current value of my/our provision for Special Olympics is*
Special Olympics Indiana recognizes that values are subject to change, and this estimate does not constitute a binding agreement.
When recognizing this gift please list my/our name in the following manner.
I/we prefer this gift to be anonymous and not be publicly recognized.
I am interested in sharing my story to encourage others to consider a legacy gift for Special Olympics Indiana.