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Questionnaire

What is the name of your financial brokerage?

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What is the full name of the stock, bond, mutual fund, or other security that you would like to donate? (If you would like to transfer multiple securities, please fill out the form for each security).

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What is the asset's ticker symbol?

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How many shares are you donating?

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When will you make your transfer? If you are not sure when you intend on completing your transfer, please provide your closest date approximation. This helps us correctly locate and verify your gift so that we can provide you with a tax acknowledgement...

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Where should we mail your tax acknowledgement letter?

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You can use this space below to personalize your gift with a message:

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