Legacy Pledge Form

MND Association pin box Thank you for remembering the MND Association in your Will. Please help us to keep our records up-to-date by completing this form. When we receive it, we will write to acknowledge your legacy pledge and send you a limited edition silver lapel badge (depicting our Thumbs Up logo) as a little thank you for remembering us.

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

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. If you do not wish to receive any further information from us please email legacies@mndassociation.org