Survey - Contact Us - Gift Planning

Tell us about yourself:


	Title:
*	First Name: Required
	Middle Name:
*	Last Name: Required
	Suffix:
*	Email: Required
	Street 1:
	Street 2:
	City:
	State / Province:
	ZIP / Postal Code:
	Country:
	Phone Number:
	Date of Birth:	Date of Birth:
	Please check this box to receive or continue receiving periodic email updates from PBS Foundation
	Yes, I would like to receive postal mail from PBS Foundation
	Keep me logged in. What's this? Remembers your login information for your convenience. Use only on trusted, private computers. Privacy Policy

*

Question - Required - Please pick the option that best describes you:

	I am reaching out on my own behalf
	I am reaching out on behalf of a friend or family member
	I am an attorney/trust/estate representative reaching out on behalf of someone else

*

Question - Required - How can we help you? (select all options that apply)

	I am interested in making a gift to the PBS Foundation now.
	I am interested in making a gift to the PBS Foundation in the future.
	I have questions about making a gift.
	Other

Question - Not Required - If applicable, what kinds of gifts you are considering?

	Bequest/Will/Trust
	Cash/Check/Electronic Transfer
	Qualified Charitable Distribution from an Individual Retirement Account (IRA)
	Stock and/or other securities
	Charitable Gift Annuity (CGA)
	Real estate
	Charitable Remainder Trust
	Beneficiary Designation on a Financial Account (IRA, Retirement, Brokerage, Investment, Bank/Savings, etc.)
	Gift to the PBS Endowment
	Something else

Question - Not Required - Questions/Comments:

*

Question - Required - Would you like someone to follow up with you?

Question - Not Required - Would you like to receive a complimentary Estate Planning Guide?