Please print out this page. Fill in the appropriate blanks and mail to:
2014 Fifth Avenue
New York, NY 10035
or Fax to our office: (212) 647-8334
Enclosed is my gift of:
^ Top of page
Stocks / Securities
Please fill in the appropriate blanks and give this form to your broker, or contact Corinne Ahearn at (212) 870-3490 or email@example.com.
Please ask your broker to fax a copy of this form to Corinne Ahearn at (212) 647-8334. In order for Blacksmith Institute to confirm the receipt of your stock gift, please include on the instructions your name, address, telephone number, and e-mail address.
Please accept this letter as authorization to gift:
_________ shares of _____________________ stock to:
Blacksmith Institute, a 501(c)(3) public charity
DTC number: 5198
Account number: 85702093
Thank you for your immediate attention to this matter.
Signature of gifting share holder (donor)
|Please provide charity's broker with contact information for acknowledgement|
*All contributions are tax-deductible as allowable by law. Blacksmith Institute is a registered 501 (c) 3 and a recognition letter/receipt will be sent following all contributions.^ Top of page