Fiske Society Notification Form

Name:
Date of birth (optional):
Spouse name (optional):
 
Address:
Address 2:
Address 3:
City:
State (US only):
State/province/region:
(outside US)
Zip or postal code:
Country:
Phone:
Email address:
   
I prefer to remain an anonymous member of The Fiske Society
Preference for Contact: Phone E-mail Mail
   
Please select one of the following:

I have included the AMS in my will.
I have funded a charitable trust for the AMS.
I have made other estate provisions for the AMS as described below:

The AMS does not require that you give a copy of any documents. It would be helpful, however, if you would provide a copy of the document or the relevant sections of the document. Otherwise, please describe how the AMS is included in your will or estate plan.