NOTICE OF BEQUEST

CONFIDENTIAL

Thank you for leaving a legacy with Free Speech TV!

The future of our democracy depends on free speech and a free press, and your bequest will help us continue this vital work after your lifetime.

Please complete this form to share your intentions.

At the bottom of this form, you will be able to upload a copy of your will/trust, or at least the related codicil or paragraph.

Alternatively, you can print this form and send it and a copy of the related documents via email at

[email protected]
or via mail at:

Development Office
Free Speech TV
PO Box 44099
Denver, CO 80201

Please select all that apply. Share as much information as you like. We understand that you may change your intentions at any time.(Required)

FSTV is named in my will or trust

FSTV is named in my will or trust as the recipient of my home or other real estate

FSTV is a beneficiary of my life insurance plan

FSTV is a beneficiary of my retirement plan

I would like to include FSTV in my legacy plans, but need more information

Other

Amount or Percent that FSTV will receive from my Estate(Required)

Estimated Value of Home or Real Estate(Required)

Amount or Percent that FSTV will receive from my life insurance plan(Required)

Amount or Percent that FSTV will receive from my retirement plan(Required)

Other details or information I’d like Free Speech TV to know:

First Name(Required)

Last Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number(Required)

Your Email(Required)

Name

First Last

Phone

Executor's Email

Name

First Last

Phone

Advisor's Email

Please upload a copy of your will, trust, or the specific section (such as a codicil or paragraph) that refers to FSTV.

Max. file size: 50 MB.

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Phone

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