plannedgiving.arthritis.org
Open in
urlscan Pro
2606:4700:10::6816:a35
Public Scan
Submitted URL: https://click.planmylegacy.org/?qs=f3e9d93de01a9139a24d9a3d60f67f0854491dc4a8258f0f6da2711653e6395670b0a6a5f35172657fd4605bbfda...
Effective URL: https://plannedgiving.arthritis.org/living-legacy-society?utm_source=stl&utm_medium=email&utm_campaign=d422&utm_content=d-4-22&subid...
Submission: On November 08 via api from US — Scanned from DE
Effective URL: https://plannedgiving.arthritis.org/living-legacy-society?utm_source=stl&utm_medium=email&utm_campaign=d422&utm_content=d-4-22&subid...
Submission: On November 08 via api from US — Scanned from DE
Form analysis 3 forms found in the DOM
Name: gift-intention-form — POST
<form id="gift-intention-form" method="post" name="gift-intention-form" class="custom-captcha-form">
<fieldset>
<legend class="offscreen">the Arthritis Foundation: Gift Intention Form</legend>
<fieldset class="provision-type">
<legend class="gift-type-title">Believing in the mission of the Arthritis Foundation, I wish to join the Living Legacy Society. I have provided for the Foundation's ongoing work in:</legend>
<div class="checkbox"><input type="checkbox" name="A provision in" id="will" value="Will"><label for="will">my will</label></div>
<div class="checkbox ge-crt ge-clt"><input type="checkbox" name="A provision in" id="trust" value="Trust"><label for="trust">my living trust</label></div>
<div class="checkbox ge-cga"><input type="checkbox" name="A provision in" id="cga" value="Charitable Gift Annuity"><label for="cga">a charitable gift annuity</label></div>
<div class="checkbox ge-crt"><input type="checkbox" name="A provision in" id="crt" value="Charitable Remainder Trust"><label for="crt">a charitable remainder trust</label></div>
<div class="checkbox"><input type="checkbox" name="A provision in" id="pif" value="Pooled Income Fund"><label for="pif">the Foundation's pooled income fund</label></div>
<div class="checkbox"><input type="checkbox" name="A provision in" id="pif" value="Private Foundation"><label for="pif">my private foundation</label></div>
<div class="checkbox daf"><input type="checkbox" name="A provision in" id="daf" value="Donor Advised Fund"><label for="daf">my donor advised fund</label></div>
<div class="checkbox ge-li"><input type="checkbox" name="A provision in" id="life-insurance" value="Life insurance"><label for="life-insurance">a beneficiary designation on my life insurance policy</label></div>
<div class="checkbox"><input type="checkbox" name="A provision in" id="retirement-plan-assets" value="Retirement Plan Assets"><label for="retirement-plan-assets">a beneficiary designation on my retirement plan</label></div>
<div class="checkbox ge-clt"><input type="checkbox" name="A provision in" id="clt" value="Charitable Lead Trust"><label for="clt">an income beneficiary designation on my charitable lead trust</label></div>
<div class="checkbox"><input type="checkbox" name="A provision in" id="other" value="Other"><label for="other">other</label></div>
<input name="__RequestVerificationToken" type="hidden" value="Kbm5kB0ourOjxyvxK26omDl2szT7BADtkMp6PFBVVqF_Qd7944cyyNsy-ZcGnPwhNhygkaSuPWLn8F33yFdVz6Ty7nE1">
</fieldset>
<div class="checkbox"><input type="checkbox" name="Please Contact" id="gp-unrestricted"
value="Please have a charitable gift planning professional contact me to discuss the various planned giving opportunities and how they might benefit my specific estate planning."><label for="gp-unrestricted">Please have a charitable gift
planning professional contact me to discuss the various planned giving opportunities and how they might benefit my specific estate planning.</label></div>
<fieldset class="donor-contact-info">
<div class="textbox-group">
<div class="textbox name"><label for="name">Name <span class="required-span">(Required)</span></label><input type="text" name="Name" id="name" required="required"></div>
</div>
<div class="textbox-group">
<div class="textbox address"><label for="address">Address </label><input type="text" name="Address" id="address"></div>
<div class="inline-input-group">
<div class="textbox city"><label for="city">City </label><input type="text" name="City" id="city"></div>
<div class="textbox state"><label for="state">State </label><input type="text" name="State" id="state"></div>
<div class="textbox city"><label for="zip">Zip </label><input type="text" name="Zip" id="zip"></div>
</div>
</div>
<div class="textbox-group">
<div class="textbox email"><label for="email">Email <span class="required-span">(Required)</span></label><input type="text" name="email" id="email" required="required"></div>
<div class="textbox phone"><label for="phone">Phone Number</label><input name="Phone Number" id="phone" class="phone" type="text"></div>
</div>
<input name="__RequestVerificationToken" type="hidden" value="Kbm5kB0ourOjxyvxK26omDl2szT7BADtkMp6PFBVVqF_Qd7944cyyNsy-ZcGnPwhNhygkaSuPWLn8F33yFdVz6Ty7nE1">
</fieldset>
<p>By signing this member profile, I reaffirm my commitment to the Arthritis Foundation. However, this letter shall not be binding upon my estate, and the information contained herein shall be used for the Arthritis Foundation purposes only.</p>
<fieldset class="donor-contact-info">
<legend class="offscreen">Digital Signature</legend>
<div class="textbox-group">
<div class="textbox"><label for="signature">Digital Signature <span class="required-span">(Required)</span></label><input type="text" name="Signature" id="signature" required="required"></div>
<div class="textbox"><label for="datesigned">Date Signed <span class="required-span">(Required)</span></label><input type="text" name="Date Signed" id="datesigned" required="required"></div>
</div>
<input name="__RequestVerificationToken" type="hidden" value="Kbm5kB0ourOjxyvxK26omDl2szT7BADtkMp6PFBVVqF_Qd7944cyyNsy-ZcGnPwhNhygkaSuPWLn8F33yFdVz6Ty7nE1">
</fieldset>
<div style="display: none; visibility: hidden;"><label class="visuallyhidden" for="checkpoint">Leave this field blank.</label><input autocomplete="off" id="checkpoint" name="" type="text"></div>
<div id="gift-intention-captcha">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LcSKyoTAAAAAKk_aP3WJflmj3IvIcHOtzCcc_Ol&co=aHR0cHM6Ly9wbGFubmVkZ2l2aW5nLmFydGhyaXRpcy5vcmc6NDQz&hl=en&v=Ixi5IiChXmIG6rRkjUa1qXHT&size=normal&cb=16hsg0bhfss3"
width="304" height="78" role="presentation" name="a-m9cww29wqz1d" frameborder="0" scrolling="no" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe>
</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"
aria-hidden="true" aria-label="recaptcha response"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
<button class="btn stlButton infoContent-btn button"><span>Submit</span></button><input id="orgname" name="orgname" type="hidden" value="the Arthritis Foundation"><input id="formname" name="formname" type="hidden"
value="the Arthritis Foundation: Gift Intention Form"><input id="nextpage" name="nextpage" type="hidden" value="/thank-you"><input id="subject" name="subject" type="hidden" value="the Arthritis Foundation: Gift Intention Response"><input
id="toEmail" name="toEmail" type="hidden" value="legacy@arthritis.org"><input id="bccEmail" name="bccEmail" type="hidden" value="dmp.forms@stelter.com"><input name="__RequestVerificationToken" type="hidden"
value="Kbm5kB0ourOjxyvxK26omDl2szT7BADtkMp6PFBVVqF_Qd7944cyyNsy-ZcGnPwhNhygkaSuPWLn8F33yFdVz6Ty7nE1"><input id="theArthritisFoundation:GiftIntentionForm-orgId" name="orgId" type="hidden" value="A0014734"><input
id="theArthritisFoundation:GiftIntentionForm-amcvId" name="amcvId" type="hidden" value="18866850111224216010051104126420258139"><input id="theArthritisFoundation:GiftIntentionForm-subId" name="subId" type="hidden" value="249024446">
</fieldset>
</form>POST /Kentico.PageBuilder/Forms/KenticoFormWidget/Kentico.FormWidget/FormSubmit?formName=VolunteerForm&prefix=form-VolunteerForm-4011&displayValidationErrors=False
<form action="/Kentico.PageBuilder/Forms/KenticoFormWidget/Kentico.FormWidget/FormSubmit?formName=VolunteerForm&prefix=form-VolunteerForm-4011&displayValidationErrors=False"
data-ktc-ajax-update="#form-VolunteerForm-4011_wrapper-84afbb34-0791-4105-b85b-368e2742b2ca" id="form-VolunteerForm-4011_wrapper-84afbb34-0791-4105-b85b-368e2742b2ca" method="post" onsubmit="window.kentico.updatableFormHelper.submitForm(event);">
<div class="ktc-default-section">
<div class="form-field">
<label class="control-label">Volunteer Opportunities*</label>
<div class="editing-form-control-nested-control">
<span class="ktc-radio ktc-radio-list">
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.VolunteerTypeCommunity Events" name="form-VolunteerForm-4011.VolunteerType.SelectedValue" type="radio" value="Community Events">
<label for="form-VolunteerForm-4011.VolunteerTypeCommunity Events">Community Events</label>
</span>
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.VolunteerTypeCommunity Leadership" name="form-VolunteerForm-4011.VolunteerType.SelectedValue" type="radio" value="Community Leadership">
<label for="form-VolunteerForm-4011.VolunteerTypeCommunity Leadership">Community Leadership</label>
</span>
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.VolunteerTypePatient Services and Support" name="form-VolunteerForm-4011.VolunteerType.SelectedValue" type="radio"
value="Patient Services and Support">
<label for="form-VolunteerForm-4011.VolunteerTypePatient Services and Support">Patient Services and Support</label>
</span>
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.VolunteerTypeArthritis Subject Matter Experts" name="form-VolunteerForm-4011.VolunteerType.SelectedValue" type="radio"
value="Arthritis Subject Matter Experts">
<label for="form-VolunteerForm-4011.VolunteerTypeArthritis Subject Matter Experts">Arthritis Subject Matter Experts</label>
</span>
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.VolunteerTypeAmbassadors" name="form-VolunteerForm-4011.VolunteerType.SelectedValue" type="radio" value="Ambassadors">
<label for="form-VolunteerForm-4011.VolunteerTypeAmbassadors">Ambassadors</label>
</span>
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.VolunteerTypeOffice Help" name="form-VolunteerForm-4011.VolunteerType.SelectedValue" type="radio" value="Office Help">
<label for="form-VolunteerForm-4011.VolunteerTypeOffice Help">Office Help</label>
</span>
</span>
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.VolunteerType.SelectedValue" data-valmsg-replace="true">
</div>
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.VolunteerType" data-valmsg-replace="true"></div>
</div>
</div>
<div class="form-field">
<label class="control-label" for="form-VolunteerForm-4011_FirstName_Value">First Name*</label>
<div class="editing-form-control-nested-control">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011_FirstName_Value" name="form-VolunteerForm-4011.FirstName.Value" type="text" value="">
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.FirstName.Value" data-valmsg-replace="true">
</div>
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.FirstName" data-valmsg-replace="true"></div>
</div>
</div>
<div class="form-field">
<label class="control-label" for="form-VolunteerForm-4011_LastName_Value">Last Name*</label>
<div class="editing-form-control-nested-control">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011_LastName_Value" name="form-VolunteerForm-4011.LastName.Value" type="text" value="">
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.LastName.Value" data-valmsg-replace="true"></div>
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.LastName" data-valmsg-replace="true"></div>
</div>
</div>
<div class="form-field">
<label class="control-label" for="form-VolunteerForm-4011_TextInput_Value">Address*</label>
<div class="editing-form-control-nested-control">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011_TextInput_Value" name="form-VolunteerForm-4011.TextInput.Value" type="text" value="">
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.TextInput.Value" data-valmsg-replace="true">
</div>
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.TextInput" data-valmsg-replace="true"></div>
</div>
</div>
<div class="form-field">
<label class="control-label" for="form-VolunteerForm-4011_TextInput_1_Value">City*</label>
<div class="editing-form-control-nested-control">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011_TextInput_1_Value" name="form-VolunteerForm-4011.TextInput_1.Value" type="text" value="">
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.TextInput_1.Value" data-valmsg-replace="true">
</div>
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.TextInput_1" data-valmsg-replace="true"></div>
</div>
</div>
<div class="form-field">
<label class="control-label" for="form-VolunteerForm-4011_StateDropdownFormComponent_SelectedValue">State*</label>
<div class="editing-form-control-nested-control">
<select class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011_StateDropdownFormComponent_SelectedValue" name="form-VolunteerForm-4011.StateDropdownFormComponent.SelectedValue">
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">DistrictOfColumbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">NewHampshire</option>
<option value="NJ">NewJersey</option>
<option value="NM">NewMexico</option>
<option value="NY">NewYork</option>
<option value="NC">NorthCarolina</option>
<option value="ND">NorthDakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">RhodeIsland</option>
<option value="SC">SouthCarolina</option>
<option value="SD">SouthDakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">WestVirginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.StateDropdownFormComponent.SelectedValue" data-valmsg-replace="true">
</div>
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.StateDropdownFormComponent" data-valmsg-replace="true"></div>
</div>
</div>
<div class="form-field">
<label class="control-label" for="form-VolunteerForm-4011_TextInput_2_Value">Zip Code*</label>
<div class="editing-form-control-nested-control">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011_TextInput_2_Value" name="form-VolunteerForm-4011.TextInput_2.Value" type="text" value="">
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.TextInput_2.Value" data-valmsg-replace="true">
</div>
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.TextInput_2" data-valmsg-replace="true"></div>
</div>
</div>
<div class="form-field">
<label class="control-label" for="form-VolunteerForm-4011_Email_Email">Email*</label>
<div class="editing-form-control-nested-control">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011_Email_Email" name="form-VolunteerForm-4011.Email.Email" type="email" value="">
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.Email.Email" data-valmsg-replace="true"></div>
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.Email" data-valmsg-replace="true">
</div>
</div>
</div>
<div class="form-field">
<label class="control-label" for="form-VolunteerForm-4011_Phone_Value">Phone*</label>
<div class="editing-form-control-nested-control">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011_Phone_Value" name="form-VolunteerForm-4011.Phone.Value" type="text" value="">
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.Phone.Value" data-valmsg-replace="true"></div>
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.Phone" data-valmsg-replace="true">
</div>
</div>
</div>
<div class="form-field">
<label class="control-label">Do you have arthritis?</label>
<div class="editing-form-control-nested-control">
<span class="ktc-radio ktc-radio-list">
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.RadioButtonsYes" name="form-VolunteerForm-4011.RadioButtons.SelectedValue" type="radio" value="Yes">
<label for="form-VolunteerForm-4011.RadioButtonsYes">Yes</label>
</span>
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.RadioButtonsNo" name="form-VolunteerForm-4011.RadioButtons.SelectedValue" type="radio" value="No">
<label for="form-VolunteerForm-4011.RadioButtonsNo">No</label>
</span>
</span>
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.RadioButtons.SelectedValue" data-valmsg-replace="true"></div>
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.RadioButtons" data-valmsg-replace="true"></div>
</div>
</div>
<div class="form-field">
<label class="control-label">If yes, what type of arthritis?</label>
<div class="editing-form-control-nested-control">
<span class="ktc-radio ktc-radio-list">
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.RadioButtons_1Ankylosing Spondylitis" name="form-VolunteerForm-4011.RadioButtons_1.SelectedValue" type="radio" value="Ankylosing Spondylitis">
<label for="form-VolunteerForm-4011.RadioButtons_1Ankylosing Spondylitis">Ankylosing Spondylitis</label>
</span>
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.RadioButtons_1Fibromyalgia" name="form-VolunteerForm-4011.RadioButtons_1.SelectedValue" type="radio" value="Fibromyalgia">
<label for="form-VolunteerForm-4011.RadioButtons_1Fibromyalgia">Fibromyalgia</label>
</span>
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.RadioButtons_1Gout" name="form-VolunteerForm-4011.RadioButtons_1.SelectedValue" type="radio" value="Gout">
<label for="form-VolunteerForm-4011.RadioButtons_1Gout">Gout</label>
</span>
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.RadioButtons_1Juvenile Arthritis" name="form-VolunteerForm-4011.RadioButtons_1.SelectedValue" type="radio" value="Juvenile Arthritis">
<label for="form-VolunteerForm-4011.RadioButtons_1Juvenile Arthritis">Juvenile Arthritis</label>
</span>
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.RadioButtons_1Lupus" name="form-VolunteerForm-4011.RadioButtons_1.SelectedValue" type="radio" value="Lupus">
<label for="form-VolunteerForm-4011.RadioButtons_1Lupus">Lupus</label>
</span>
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.RadioButtons_1Osteoarthritis" name="form-VolunteerForm-4011.RadioButtons_1.SelectedValue" type="radio" value="Osteoarthritis">
<label for="form-VolunteerForm-4011.RadioButtons_1Osteoarthritis">Osteoarthritis</label>
</span>
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.RadioButtons_1Psoriatic Arthritis" name="form-VolunteerForm-4011.RadioButtons_1.SelectedValue" type="radio" value="Psoriatic Arthritis">
<label for="form-VolunteerForm-4011.RadioButtons_1Psoriatic Arthritis">Psoriatic Arthritis</label>
</span>
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.RadioButtons_1Rheumatoid Arthritis" name="form-VolunteerForm-4011.RadioButtons_1.SelectedValue" type="radio" value="Rheumatoid Arthritis">
<label for="form-VolunteerForm-4011.RadioButtons_1Rheumatoid Arthritis">Rheumatoid Arthritis</label>
</span>
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.RadioButtons_1Other" name="form-VolunteerForm-4011.RadioButtons_1.SelectedValue" type="radio" value="Other">
<label for="form-VolunteerForm-4011.RadioButtons_1Other">Other</label>
</span>
</span>
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.RadioButtons_1.SelectedValue" data-valmsg-replace="true">
</div>
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.RadioButtons_1" data-valmsg-replace="true"></div>
</div>
</div>
<div class="form-field">
<label class="control-label">Are you a caregiver/friend of someone with arthritis?</label>
<div class="editing-form-control-nested-control">
<span class="ktc-radio ktc-radio-list">
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.RadioButtons_2Yes" name="form-VolunteerForm-4011.RadioButtons_2.SelectedValue" type="radio" value="Yes">
<label for="form-VolunteerForm-4011.RadioButtons_2Yes">Yes</label>
</span>
<span class="ktc-radio">
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011.RadioButtons_2No" name="form-VolunteerForm-4011.RadioButtons_2.SelectedValue" type="radio" value="No">
<label for="form-VolunteerForm-4011.RadioButtons_2No">No</label>
</span>
</span>
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.RadioButtons_2.SelectedValue" data-valmsg-replace="true">
</div>
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.RadioButtons_2" data-valmsg-replace="true"></div>
</div>
</div>
<div class="form-field">
<div class="editing-form-control-nested-control">
<script src="https://www.google.com/recaptcha/api.js?onload=renderRecaptchaform_VolunteerForm_4011_Recaptcha_Value&render=explicit&hl=en" async="" defer=""></script>
<input class="form-control" data-ktc-notobserved-element="" id="form-VolunteerForm-4011_Recaptcha_Value" name="form-VolunteerForm-4011.Recaptcha.Value" type="hidden" value="">
<div id="google-recaptcha-form-VolunteerForm-4011_Recaptcha_Value">
<div style="width: 304px; height: 78px;">
<div><iframe
src="https://www.google.com/recaptcha/api2/anchor?ar=2&k=6Lc-ZM8UAAAAADmRHCizV6SAupQ9Lgz4Vj26t1L7&co=aHR0cHM6Ly93d3cuYXJ0aHJpdGlzLm9yZzo0NDM.&hl=en&type=image&v=zItNOfzbrqVGbb4QFYpPpcrw&theme=light&size=normal&cb=ai2g4xpwc753"
width="304" height="78" role="presentation" name="a-o8ifcwvskag4" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe>
</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"
aria-hidden="true" aria-label="recaptcha response"></textarea>
</div>
</div>
<noscript>
<div>
<div style="width: 302px; height: 422px; position: relative;">
<div style="width: 302px; height: 422px; position: absolute;">
<iframe src="https://www.google.com/recaptcha/api/fallback?k=6Lc-ZM8UAAAAADmRHCizV6SAupQ9Lgz4Vj26t1L7" style="width: 302px; height: 422px; border-style: none; border: 0; overflow:hidden;"></iframe>
</div>
</div>
<div style="width: 300px; height: 60px; border-style: none; bottom: 12px; left: 25px; margin: 0px; padding: 0px; right: 25px; background: #f9f9f9; border: 1px solid #c1c1c1; border-radius: 3px;">
<textarea id="noscript-google-recaptcha-form-VolunteerForm-4011_Recaptcha_Value" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid #c1c1c1; margin: 10px 25px; padding: 0px; resize: none;" data-ktc-notobserved-element=""></textarea>
</div>
</div>
</noscript>
<div class="field-validation-valid" data-valmsg-for="form-VolunteerForm-4011.Recaptcha" data-valmsg-replace="true">
</div>
</div>
</div>
</div>
<input type="submit" value="Submit">
<input name="__RequestVerificationToken" type="hidden" value="AsgaU8ZXNkt7cA3lQyxxijvk_eZM-xAQkKFbWdE8FzHh1rmVFYm0zCIcxSdQD-3QK9Jk81SMQJq6jCP6hunra3amLy01">
<script>
if (document.readyState === 'complete') {
window.kentico.updatableFormHelper.registerEventListeners({
"formId": "form-VolunteerForm-4011_wrapper-84afbb34-0791-4105-b85b-368e2742b2ca",
"targetAttributeName": "data-ktc-ajax-update",
"unobservedAttributeName": "data-ktc-notobserved-element"
});
} else {
document.addEventListener('DOMContentLoaded', function(event) {
window.kentico.updatableFormHelper.registerEventListeners({
"formId": "form-VolunteerForm-4011_wrapper-84afbb34-0791-4105-b85b-368e2742b2ca",
"targetAttributeName": "data-ktc-ajax-update",
"unobservedAttributeName": "data-ktc-notobserved-element"
});
});
}
</script>
<input name="formname" type="hidden" value="form-VolunteerForm-4011_wrapper-84afbb34-0791-4105-b85b-368e2742b2ca"><input id="form-VolunteerForm-4011_wrapper-84afbb34-0791-4105-b85b-368e2742b2ca-orgId" name="orgId" type="hidden"
value="A0014734"><input id="form-VolunteerForm-4011_wrapper-84afbb34-0791-4105-b85b-368e2742b2ca-amcvId" name="amcvId" type="hidden" value="18866850111224216010051104126420258139"><input
id="form-VolunteerForm-4011_wrapper-84afbb34-0791-4105-b85b-368e2742b2ca-subId" name="subId" type="hidden" value="249024446">
</form>Name: questionform —
<form id="stl-question-widget-form" class="stl-custom-form recaptcha-disabled" name="questionform">
<fieldset>
<legend class="visuallyhidden">Let us know your questions.</legend>
<button title="Close (Esc)" type="button" class="close" aria-label="Close" onclick="_satellite.track('site_tool.interaction',{'toolName':'I Have a Question: close button'})"
onkeydown="_satellite.track('site_tool.interaction',{'toolName':'I Have a Question: close button'})"><i class="fa fa-times"></i></button>
<div class="hidden-after-submit">
<h2>I Have a Question</h2>
<p>
<label for="contact-comments" class="visuallyhidden">Comments</label>
<textarea id="contact-comments" name="comments" rows="6" placeholder="Type a question here..."></textarea>
</p>
<div class="stl-input-field">
<label for="contact-name" class="">Name</label>
<input type="text" id="contact-name" name="Name" required="required">
<span class="validation"></span><span class="text helper-text"></span><span class="text validation-text">Name is required</span>
</div>
<div class="stl-input-field">
<label for="contact-email">Email Address</label>
<input type="email" name="Email" id="contact-email" required="required">
<span class="validation"></span><span class="text helper-text"></span><span class="text validation-text">Please include an '@' in the email address</span>
</div>
<p class="hidden">
<label class="visuallyhidden" for="contact-contactCheckpoint">Checkpoint</label>
<input autocomplete="nope" id="contact-contactCheckpoint" class="checkpoint" name="contactCheckpoint" type="text" tabindex="-1">
</p>
<div>
<button class="stlButton infoContent-btn button" type="submit"><span>Submit</span></button>
</div>
</div>
<input id="widget-orgname" name="orgname" type="hidden" value="the Arthritis Foundation">
<input id="widget-formname" name="formname" type="hidden" value="Contact Us">
<input id="widget-nextpage" name="nextpage" type="hidden" value="" data-samepage="true">
<input id="widget-subject" name="subject" type="hidden" value="the Arthritis Foundation I Have a Question Form Submission">
<input id="widget-toEmail" name="toEmail" type="hidden" value="legacy@arthritis.org">
<input id="widget-bccEmail" name="bccEmail" type="hidden" value="dmp.forms@stelter.com"><input name="__RequestVerificationToken" type="hidden"
value="pDW1qGgcJFEdGA2fLZPNkFfUIZiSWL8hacnsoX5WX-BeIkWbOzd3pRsfDod2WmtNEUiNQEAxEk001sNA6W-sWH-SClQ1"><input id="widget-subid" name="subId" value="249024446" type="hidden"><input id="ContactUs-orgId" name="orgId" type="hidden"
value="A0014734"><input id="ContactUs-amcvId" name="amcvId" type="hidden" value="18866850111224216010051104126420258139">
<div class="visible-after-submit">
<h3>Thank You for Contacting Us</h3>
<p>Someone from the Arthritis Foundation will be in contact with you soon. If you need to speak to us immediately, please call us at 866-528-8687.</p>
</div>
</fieldset>
</form>Text Content
Skip to main content * Planned Giving Home * Easy Gifts * Wills and Living Trusts * Beneficiary Designations * Give From Your IRA * Income Gifts * Charitable Gift Annuities * Charitable Remainder Trusts * More Ways to Give * Memorials and Tribute Gifts * Real Estate * Donor Advised Funds * Charitable Lead Trusts * Appreciated Securities * Resources & More * Gift Illustrator * Your Planning Library * Bequest Language * Planning Toolkit * Living Legacy Society * Supporters Like You * Impact Stories * Trusted Attorney Network * For Professional Advisors * Contact Us Select Your State LIVING LEGACY SOCIETY ENSURING THE ARTHRITIS FOUNDATION'S LONG-TERM SUCCESS WHAT IS THE ARTHRITIS FOUNDATION'S LIVING LEGACY SOCIETY? The Living Legacy Society recognizes individuals who have remembered the Arthritis Foundation in their wills, charitable gift annuities, charitable trusts, insurance policies, retirement plans or other forms of legacy gifts. Their generosity helps ensure that the Arthritis Foundation will continue the battle against the nation's most disabling disease for future generations. FREE ESTATE PLANNING TOOL Join fellow Arthritis Foundation supporters on Giving Docs, a safe, secure and free-for-life suite of estate plan essentials. If you choose to include the Arthritis Foundation in your estate plans, you'll be eligible for Living Legacy Society benefits! Get Started JOIN THE LIVING LEGACY SOCIETY Although we respect your right to privacy, informing us that you have included the Arthritis Foundation in your plans gives us the opportunity to express our heartfelt gratitude and extend a small token of our appreciation, including: * A complimentary lifetime subscription to Arthritis Today magazine * A complimentary subscription to our periodic newsletter on tax and estate planning * A certificate of appreciation * A lapel pin HOW DO I JOIN THE LIVING LEGACY SOCIETY? You can join the Living Legacy Society by simply informing the Planned Giving Department that you have included the Arthritis Foundation in your plans. As a convenience, you may: * EMAIL us at legacy@arthritis.org * CALL us toll-free at 866-528-8687 * SUBMIT the form below The Arthritis Foundation exists to conquer arthritis—through life-changing information and resources, access to optimal care, advancements in science and community connections. JOIN THE LIVING LEGACY SOCIETY the Arthritis Foundation: Gift Intention FormBelieving in the mission of the Arthritis Foundation, I wish to join the Living Legacy Society. I have provided for the Foundation's ongoing work in: my will my living trust a charitable gift annuity a charitable remainder trust the Foundation's pooled income fund my private foundation my donor advised fund a beneficiary designation on my life insurance policy a beneficiary designation on my retirement plan an income beneficiary designation on my charitable lead trust other Please have a charitable gift planning professional contact me to discuss the various planned giving opportunities and how they might benefit my specific estate planning. Name (Required) Address City State Zip Email (Required) Phone Number By signing this member profile, I reaffirm my commitment to the Arthritis Foundation. However, this letter shall not be binding upon my estate, and the information contained herein shall be used for the Arthritis Foundation purposes only. Digital Signature Digital Signature (Required) Date Signed (Required) Leave this field blank. Submit HAVE A QUESTION? Our planned giving team would be happy to speak with you in confidence, with no obligation. Contact Us GET INVOLVED * Live Yes! Arthritis Network * Live Yes! Connect Group * Live Yes! Online Community * Local Office * Events * Arthritis Today * Blog * Store ABOUT * About Us * Annual Report * Careers * Code Of Ethics * Financials * Privacy Notice * Terms of Use * Espanol JOIN US * Jingle Bell Run * Let's Get a Grip on Arthritis * JA Camps * Walk to Cure Arthritis HOME OFFICE * 1355 Peachtree St NE Suite 600 * Atlanta, GA 30309 * 404.872.7100 * Helpline: 1.844.571.4357 * Customer Service: 800.283.7800 Information contained herein was accurate at the time of posting. The information on this website is not intended as legal or tax advice. For such advice, please consult an attorney or tax advisor. Figures cited in any examples are for illustrative purposes only. References to tax rates include federal taxes only and are subject to change. State law may further impact your individual results. California residents: Annuities are subject to regulation by the State of California. Payments under such agreements, however, are not protected or otherwise guaranteed by any government agency or the California Life and Health Insurance Guarantee Association. Oklahoma residents: A charitable gift annuity is not regulated by the Oklahoma Insurance Department and is not protected by a guaranty association affiliated with the Oklahoma Insurance Department. South Dakota residents: Charitable gift annuities are not regulated by and are not under the jurisdiction of the South Dakota Division of Insurance.Privacy Policy | Cookie Policy Arthritis Foundation is a qualified 501(c)(3) EIN 58-1341679 Create a safe and secure estate plan. Free! Facebook Instagram LinkedIn Twitter I Want to Contribute I Need Help * DONATE Every gift to the Arthritis Foundation will help people with arthritis across the U.S. live their best life. * VOLUNTEER Join us and become a Champion of Yes. There are many volunteer opportunities available. * LIVE YES! INSIGHTS Take part to be among those changing lives today and changing the future of arthritis. * PARTNER Proud partners of the Arthritis Foundation make an annual commitment to directly support the Foundation’s mission. DONATE -------------------------------------------------------------------------------- WAYS TO GIVE Every gift to the Arthritis Foundation will help people with arthritis across the U.S. live their best life. Whether it is supporting cutting-edge research, 24/7 access to one-on-one support, resources and tools for daily living, and more, your gift will be life-changing. MAKE A DONATION Help millions of people live with less pain and fund groundbreaking research to discover a cure for this devastating disease. Please, make your urgently-needed donation to the Arthritis Foundation now! BECOME A MEMBER Become an Arthritis Foundation member today for just $20. You'll receive a year's worth of Arthritis Today magazine, access to helpful tools, resources, and more. MAKE A HONOR OR MEMORIAL GIFT Honor a loved one with a meaningful donation to the Arthritis Foundation. We'll send a handwritten card to the honoree or their family notifying them of your thoughtful gift. GIFT PLANNING I want information on ways to remember the AF in my will, trust or other financial planning vehicles. OTHER WAYS TO GIVE * Match Gift * Donate a Car * Donor-Advised Funds VOLUNTEER -------------------------------------------------------------------------------- Volunteer Opportunities* Community Events Community Leadership Patient Services and Support Arthritis Subject Matter Experts Ambassadors Office Help First Name* Last Name* Address* City* State* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware DistrictOfColumbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada NewHampshire NewJersey NewMexico NewYork NorthCarolina NorthDakota Ohio Oklahoma Oregon Pennsylvania RhodeIsland SouthCarolina SouthDakota Tennessee Texas Utah Vermont Virginia Washington WestVirginia Wisconsin Wyoming Zip Code* Email* Phone* Do you have arthritis? Yes No If yes, what type of arthritis? Ankylosing Spondylitis Fibromyalgia Gout Juvenile Arthritis Lupus Osteoarthritis Psoriatic Arthritis Rheumatoid Arthritis Other Are you a caregiver/friend of someone with arthritis? Yes No VOLUNTEER OPPORTUNITIES The Arthritis Foundation is focused on finding a cure and championing the fight against arthritis with life-changing information, advocacy, science and community. We can only achieve these goals with your help. Strong, outspoken and engaged volunteers will help us conquer arthritis. By getting involved, you become a leader in our organization and help make a difference in the lives of millions. Join us and become a Champion of Yes. MORE ABOUT VOLUNTEERING * Walk to Cure * Jingle Bell Run * Do it Yourself Fundraising * JA Camp * Start a Live Yes! Connect Group * Be an Online Community Moderator * Local Leadership Board LIVE YES! INSIGHTS -------------------------------------------------------------------------------- GIVE JUST 10 MINUTES. TELL US WHAT MATTERS MOST TO YOU. CHANGE THE FUTURE OF ARTHRITIS. By taking part in the Live Yes! INSIGHTS assessment, you’ll be among those changing lives today and changing the future of arthritis, for yourself and for 54 million others. And all it takes is just 10 minutes. Your shared experiences will help: - Lead to more effective treatments and outcomes - Develop programs to meet the needs of you and your community - Shape a powerful agenda that fights for you Now is the time to make your voice count, for yourself and the entire arthritis community. Currently this program is for the adult arthritis community. Since the needs of the juvenile arthritis (JA) community are unique, we are currently working with experts to develop a customized experience for JA families. HOW ARE YOU CHANGING THE FUTURE? By sharing your experience, you’re showing decision-makers the realities of living with arthritis, paving the way for change. You’re helping break down barriers to care, inform research and create resources that make a difference in people’s lives, including your own. Get Started PARTNER -------------------------------------------------------------------------------- MEET OUR PARTNERS As a partner, you will help the Arthritis Foundation provide life-changing resources, science, advocacy and community connections for people with arthritis, the nations leading cause of disability. Join us today and help lead the way as a Champion of Yes. TRAILBLAZER Our Trailblazers are committed partners ready to lead the way, take action and fight for everyday victories. They contribute $2,000,000 to $2,749,000 VISIONARY Our Visionary partners help us plan for a future that includes a cure for arthritis. These inspired and inventive champions have contributed $1,500,00 to $1,999,999. PIONEER Our Pioneers are always ready to explore and find new weapons in the fight against arthritis. They contribute $1,000,000 to $1,499,999. PACESETTER Our Pacesetters ensure that we can chart the course for a cure for those who live with arthritis. They contribute $500,000 to $999,000. SIGNATURE Our Signature partners make their mark by helping us identify new and meaningful resources for people with arthritis. They contribute $250,000 to $499,999. SUPPORTING Our Supporting partners are active champions who provide encouragement and assistance to the arthritis community. They contribute $100,000 to $249,999. MORE ABOUT PARTNERSHIPS * Partner with Us * Ease Of Use Commendation * Let's Get a Grip On Arthritis * Promotions that Give Back I Have a Question Let us know your questions. I HAVE A QUESTION Comments Name Name is required Email Address Please include an '@' in the email address Checkpoint Submit THANK YOU FOR CONTACTING US Someone from the Arthritis Foundation will be in contact with you soon. If you need to speak to us immediately, please call us at 866-528-8687.