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Gift of Securities Instructions

Information for Electronic Stock Transfer to (your organization's name)
Account#  
DTC# 0000
Tax ID#
Broker Address Firm name
Division
address
city, state zip-code
Broker Telephone 555-555-1234

Please contact our organization via mail, e-mail, facsimile, or telephone regarding the purpose of the gift when the transfer is made. If you have any questions, please contact at . You are encouraged to leave a voice message or email message if no one answers. The facsimile number is . If sending email, please use the Contact Us link on the left.

Thank you for your support of our organization.

Contact

P O Box 11500, Beaumont, TX 77710

(409) 880-2117

WEBMASTER