Thanks for visiting.

Please help us create your personalized estate planning information.
Our way of saying thank you for your past donation.

1. Which of the following topics would you like
to learn more about? (check all that apply): *

How to prepare a will

Reducing estate taxes

How to leave more money to my family

How to create an annuity gift that provides
generous fixed payments for life

The benefits of establishing a trust

How my donations are spent by the ADA

2. How would you prefer to receive this information?

Printed Brochures

Online/Email

Telephone call from an experienced estate planner

The best time to reach me is

Phone Number:

3. I contributed to ADA in the past because (check all that apply): *

A family member has diabetes

A friend has diabetes

I have diabetes

Other

In order to help us better understand what is important to our donors and how we can help, please share your reason for giving:

4. I have already included the ADA as a beneficiary in my estate plans so I would like to
receive a FREE biannual subscription to Forefront Magazine, the premiere source of
diabetes research news and other reports on how my donations are being used.

Yes, I have already included ADA in my estate plans

I am considering leaving a bequest for diabetes research

Not at this time

I will not consider ADA in my estate plans

Please confirm your contact information:

First Name:*

Last Name:*

Address:*

Address 2:

City:*

State:*

Zip:*

Email:*

* denotes required fields

 

Note: Your privacy is important to us. We use this data to make sure we send you only the FREE information you request. This helps us make more efficient use of your donation dollars and lessens our impact on the environment.

American Diabetes Association 1701 North Beauregard Street Alexandria, VA 22311 1-800-DIABETES (800-342-2383)

Powered by MarketSmart