Salutation:

Mr. Mrs. Ms. Dr.

Name:

Address:

City

State

Zip Code

Telephone

E-mail:

Please send information on how a Joslin life income gift (e.g. gift annuity, pooled fund, or charitable trust) can work for me. For illustration purposes, please model a gift of (minimums: age 60, $5,000):

Cash or Stocks in the amount of:

$5,000 $10,000 $25,000 $50,000
$100,000 or Other amount

My birthdate:
My spouse's birthdate:

(Dates of birth are needed to calculate the income and tax savings you will receive.)

Please send information on how to name Joslin Diabetes Center in my will or retirement plan, including your annual report.

I have already named Joslin Diabetes Center in my will. Please enroll me in The Legacy Society and send the benefits of this honorary circle of benefactors.

Please send me more information about The Legacy Society.

I am interested in exploring a Joslin life income gift or a bequest to prevent and cure diabetes, because

Any other questions or comments? Please let us know how we may best help you.

Thank you for your interest.
We look forward to hearing from you and showing how you can make a difference.