FUTURE FOCUS - Leading Provider of Personalized Planned Giving Web Pages

Brochure Order Form

Please complete this form to order your eBrochures. Please read each section carefully - it will help the process of designing your pages.

Options:

Complete online and press the submit button at the bottom of the form.
Fill out the form on your computer, print it and fax it to (925) 855-1170.

TO:	Future Focus
DATE:
ORGANIZATION:	please provide your legal name and TIN below:
CONTACT:
ADDRESS:
CITY, STATE & ZIP:
PHONE:
E-MAIL:

Please provide our personalized eBrochure(s) as specified below. We agree to pay the total below for a two year subscription leasing the content and for the maintenance and updating of the eBrochure(s). We understand that after two years the content becomes static and will not be updated unless we re-subscribe as below.

Payment: If the billing address differs from above, please complete the following. The first annual payment is due on or near the completion of the setup when invoiced by Future Focus.

DEPT.
ATTN:
ADDRESS:
CITY, STATE & ZIP:
PHONE:
FAX:

Planned Giving Contact Information: (the person(s) you want potential donors to contact). This information will be used for the contact information on the eBrochure(s).

Contact Person:

NAME:
TITLE:
ADDRESS:
CITY/STATE/ZIP:
PHONE:
FAX:
E-MAIL:

URL Information: This is the page on your web site that you will want your eBrochure(s) to resemble in general look. We will copy graphics and styles as best as can be incorporated in the limited space in an eBrochure.

URL:

Charitable Gift Annuities:

Do you offer charitable gift annuities: (please select one - affects general planned giving brochure)

YES DO NOT

eBrochure Selection:

Current Titles	Subscription Price	Re-Subscription Price
General Planned Giving	$150	$100
Wills and Bequests	$150	$100
Gifts of Real Estate/Retirement Assets (combined)	$150	$100
Charitable Gift Annuities	$150	$100

Set of any three (select above)	$400	$300
Set of any four (select above)	$500	$300

Trifold format (add $50 for each eBrochure) as well as 8 1/2 by 11

We will invoice you after your approval of the eBrochures. To make sure we both understand your wishes regarding the order process above, please enter the total amount as you understand your order:

Authorization: For Future Focus to create and personalize Planned Giving eBrochures and bill us as above.

Name:
Title:
Date:

Thank you very much.

Please contact Dick Kellogg at Future Focus
if you have any questions.


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Future Focus 3282 Stone Valley Road Alamo, CA 94507 (925) 820-9238 (800) 737-3437 mail@futurefocus.net Please note, individual financial circumstances will vary. The information on this site does not constitute legal or tax advice. As with all tax and estate planning, please consult your attorney or estate specialist. All material is copyrighted and is for viewing purposes only. Use of this site signifies your agreement with the privacy/terms of use statement. Please report any problems to webmaster. Revised: June 23, 2006 10:24.