Hon. Robert Boyle Legacy Society Profile

If you would rather mail us your member profile, click here to view the pdf form.

* Indicates a required field

Name(s): *
School/Class: *
Address: *
City/State/Zip: *

Please check one:

William & Mary may include my (and, if applicable, my spouse's) name in The Honorable Robert Boyle Legacy Society listings. (Neither amount nor designation, if provided, will be included on the listing.)
Please list me / us as follows:
I am honored to be included in the Boyle Legacy Society, however I prefer to remain anonymous. Please do not include my/our name in the Boyle Legacy Society listings.

The following information is optional:

Please tell us more about your estate provision for William & Mary.

I have named William & Mary as a beneficiary of my:

Will/trust for:
a specified amount
a specified percentage
Life Insurance Policy
Charitable trust as remainderman
IRA or retirement plan    
Other (please specify):

My gift is:

Unrestricted Designated for:
Estimated current value as of (date)