Heritage Society Enrollment Form

Canine Companions® created this society to honor those who have remembered the organization in their estate plans through thoughtful bequests and other planned gifts.
Joining the Heritage Society is simple. Let us know that you've included Canine Companions in your estate plans and your enrollment will be complete.

  General Information

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Name:

 

 

   

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City/State/ZIP:

 

    

 

If you respond and have not already registered, you will receive periodic updates and communications from Canine Companions for Independence.

 

What's this?

 
Question - Not Required - I/we have included a gift to support Canine Companions for Independence in my/our estate plans! This gift will come to Canine Companions through my/our:

   


   


 
Question - Not Required - Recognition: Those who allow us to use their names will be recognized in our annual report. All members also receive a commemorative gift.


 

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Give Independence Year-round

For a limited time, if you make a monthly gift of $25 or more, you'll receive a Canine Companions. Give a Dog a Job double-wall tumbler as a thank you.