Application Form

Applicant Questionnaire

How many years have you been actively engaged in estate planning?

Referred by:

Permanent Name Tag - Above your full name and credentials will be your first name or nickname in larger print. If you wish to use a name other than your first name, please tell us what name you want printed.

Mailing Address. If your mailing address is different than the address you listed above, please let us know.

(Signature of applicant, if printing)
Date: Friday, April 19, 2024

Please contact jreese.hvepc@gmail.com with questions about council membership.

HUDSON VALLEY ESTATE PLANNING COUNCIL