Stock Transfer Form​
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          Stock Transfer Form

          It's simple to make a gift of stock to Edinboro University!

          We will receive basic information about your intentions, so we can lend any assistance and credit your gift when it arrives.

          For security reasons, we do not ask for your account number over the Internet. Make sure you contact your broker to initiate the actual transfer.

          Bolded items with an asterisk (*) are required fields.

          Donor Information

          Name*
          Address 1*
          Address 2
          City*
          State*
          Postal Code
          Country
          E-Mail*
          Home Phone*

          Broker/Stock Information

          Brokerage/Financial Institution Name*
          Broker/Contact Name*
          Broker/Contact Phone*
          Broker/Contact E-mail
          Broker/Contact Fax
          Anticipated Transfer Date*
          Stock Name*
          Number of Shares*

          Special Instructions to Broker

          Gift Designation Information

          I would like to designate my gift to the following

            


           

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