Gift Notification Gift Notification We want to thank you for your incredible support. By including a gift to Multiple Sclerosis Limited in your Will, you have made offering vital support and services for people living with multiple sclerosis part of your personal legacy. The information you provide here about your legacy gift for Multiple Sclerosis Limited will ensure that our records are accurate, and that we use your gift in the way that you intend and better plan for the future. This is not a binding legal document, and your information will be kept confidential. If you have any questions, please contact Laura Henschke at 1800GIFTMS or email@example.com. Date of estate plan or designation:I have supported Multiple Sclerosis Limited through the following type(s) of deferred gifts:*Please indicate below how your future gift intention will be fulfilled for MS. Will Beneficiary Designation Gift of Real Estate Life Insurance Policy Real Estate/Property Stocks and Bonds Other Please specify:Is this gift revocable or irrevocable?This gift is revocable (can be changed).This gift is irrevocable (cannot be changed).Please share more about how your gift will be fulfilled:This gift is a percentage of my estate or account’s value.This gift is a specified amount.This a residual gift after other bequests, debts, and taxes have been fulfilled.Please provide your best estimate of the current value of the gift designated for Multiple Sclerosis Limited.Please tell us about your gift designation:I have planned this gift in honour or memory of someone.I would like this gift to provide for a specific program or purpose (should there still be a need)Multiple Sclerosis Limited may use this gift where it is needed most.Please provide the name or relationship with this person:Please describe the intended program or purpose:The MS organisation likes to recognise our incredibly generous Legacy supporters with membership into The Callistemon League. By listing your name as part of this group in our publications, we hope you will inspire others to create their legacy of support for people living with multiple sclerosis. Please indicate if you would like to be listed, or if you prefer to remain anonymous.Yes, please list my/our name(s) as part of the MS organisation’s publications.No, please do not list my/our name(s).Please list my/our name(s) as:I have shared my plans and intentions with my family. I have shared my plans and intentions with my family. Please confirm your contact information:First Name*Last Name*AddressAddress 2CityProvinceACTNSWNTQLDSATASVICWAPostcodeCountryUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwePhoneEmail* * denotes required fieldPhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.