James Wallace Society Confirmation Form

Please provide the details below so that we may welcome you into the James Wallace Society.

Biographical and Contact Information

First Name*

Last Name*

Class Year

Spouse/Partner Name

Spouse/Partner Class Year

Mailing Address*

Country

Street

City

Region

Postal Code

Email Address*

Telephone

Honor Roll Recognition

Please choose one:*

Macalester may include my (and, if applicable, by spouse's/partner's) name as listed above in the James Wallace Society Honor Roll of Donors. (The Honor Roll contains names only; all private information will be kept confidential.)

I am honored to be included in the James Wallace Society; however, I prefer to remain anonymous. Please do not include my name/our name in the James Wallace Society Honor Roll of Donors.

Please tell us more about your gift to Macalester College

I/we have provided for Macalester College through a:*

Will/Revocable Trust

IRA or Retirement Plan

Life Insurance Policy

Charitable Remainder Trust or Annuity

The provision is stated as:*

Specific Dollar Amount

Percentage (%)

Amount $*

%*

Estimated at $*

Other Designation Note:

Comments:

I/we will inform Macalester College of any changes that might be made to this planned gift.*

Yes

In appreciation of your generosity in joining the James Wallace Society, we have a welcome gift that we send to all new JWS members.*

Yes, I/we would be happy to receive this gift.

Thank you, but I/we would prefer not to receive the welcome gift at this time.