Clarence Dickinson Society Printable Form

_______I have included the AGO in my will.

(Please let us know if you have included the AGO in your will. It’s important and we want to thank you.)

_______I intend to include the AGO in my will.

_______I have made other arrangements for the AGO in my estate plan. They are:

__________________________________________________________________________

__________________________________________________________________________

_______Please send me more information about including the AGO in my estate plan.

Name: ____________________________________________

Address: ___________________________________________

City, State, Zip: _______________________________________

Phone: _____________________________________________

Email Address: _______________________________________

 

Signature: __________________________________________

Date: _____________________________________________

Please print, complete, and return this form:
By postal mail to:

Clarence Dickinson Society
American Guild of Organists
475 Riverside Drive, Suite # 1260
New York, NY 10115

By e-mail to:
F. Anthony Thurman