Planned Giving Info Request Form

Donation Information Request

If you would like to learn more about planned giving opportunities with Wheeler Mission, please fill out the form below. One of our staff members will reach out to you!

"*" indicates required fields

Name*

First Last

Phone

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please contact me. I need:*

IRA Distribution Information

Stock Transfers Information

Donor Advised Fund Information

Information about a single contribution I already made

An Annual Statement listing all the contributions I made

Something not listed here

When was the contribution made?*

How was it made?*

What is your question?*

What year do you need this list for?*

I prefer to receive it via:*

Mail

Additional Comments or Requests

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