Declaration of Intent

Date of estate plan or designation:

Birth date:(Required)

Please specify:

Please provide your best estimate of the current value of portion designated for the American Battlefield Trust:

Please provide the name or association with this person:

Please describe the intended purpose:

Please indicate if you would like to target your gift for a specific purpose,* such as for the preservation of land associated with a certain war:

* Please note that certain restrictions can be difficult because of the availability of battlefield land for purchase; we are happy to work with you to determine if your designation can be realized.

Please tell us how you would like your name listed.

Executor/Trustee Contact

Executor/Trustee First and Last Name

Relationship (attorney, sibling, friend, etc.)

Mailing address

Phone Number

Email

Other information:

Please let us know of any other information that you think is relevant:

Please confirm your contact information:

First Name(Required)

Last Name(Required)

Address

Address 2

City

State

ZIP(Required)

Country

Phone

Email(Required)

* denotes required field

Name

This field is for validation purposes and should be left unchanged.

Executor/Trustee Contact

Other information:

Please confirm your contact information:

How is this information used?