Legacy Pledge Form

MND Association pin box Thank you for remembering the MND Association in your Will. Please help us to plan ahead more effectively by completing this form. When we receive it, we will send you a limited edition silver lapel badge (depicting our Thumbs Up logo) to thank you for remembering us.

Any information you choose to give will be treated in the strictest confidence.

Alternative download and complete our Legacy Pledge Form (45 kb)

Fields marked with * must be completed.
First name *

Surname *

Address (line 1) *

Address (line 2)

Address (line 3)

Address (line 4)

Town *

County *

Postcode

Country *

Telephone

Email *

I have remembered the MND Association in my will with: a residuary legacy
a specific legacy
a pecuniary (cash) legacy
a contingent gift

Thank you for letting us know about your decision
Please tick this box if you do not wish to receive a lapel badge.

The MND Association complies with the Data Protection Act. Your details will be added to our database. You may inform us at any time if you do not wish to receive mailings from the MND Association or the organizations with whom we co-operate.