Riverbend Legacy Society and
Membership Enrollment Form

Membership in the Riverbend Legacy Society is for those who have included Riverbend in their will or estate plan or who have made other arrangements to create a lasting legacy to assure the future of outstanding mental health care for our communities.

Special Legacy Society Member Benefits include:

• A personalized membership certificate
• A subscription to Riverbend’s semi-annual newsletter Currents
• Annual recognition listing in Riverbend’s Annual Report
• Invitations to special member events
• Inscription on a plaque with prominent placement at the Monitor Building/Administrative Headquarters
• And the satisfaction of making a lasting difference

If you wish to voluntarily enroll for membership, please return the following information:

I/we are pleased to acknowledge that I/we have included Riverbend Community Mental Health, Inc. as a beneficiary in our will, retirement plans, trust or life insurance policy.

I/we understand this is a non-binding statement and that our plans may change. Although I/we intend for our plans to remain in place, this document is not intended to be legally enforceable.

I/we understand that the Membership List of the Riverbend Legacy Society may be published from time to time in the Annual Report, in other publications, and on the website. I/we give _____ do not give _____  my/our consent to be listed.

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