Gifts Transfer Form

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Stock and Other Securities Gift Form

Non-Cash Gift Description
What would you like to donate?
Ticker 1
Security Name / TICKER Symbol No. of Shares
Are you giving more than one security?
If you wish to gift more than one security, select "Yes" from the menu below. This form will allow you to gift up to four securities. If you would like to gift more than four securities, please contact Pamela Mills directly.
More than one gift selection
- Yes
- No
Ticker 2
Security Name / TICKER Symbol No. of Shares
Ticker 3
Security Name / TICKER Symbol No. of Shares
Ticker 4
Security Name / TICKER Symbol No. of Shares
Financial Advisor Name
Name of Investment Company
Investment Company Address
Street Address City State ZIP Code
Donor Authorization
Donor 1 Full Name
Donor 1 Signature
Donor 2 Full Name (if held jointly)
Donor 2 Signature
Gift Clearing Designation
Who benefits from your gift?
Name of Ministry
Address
Street Address City State ZIP Code
Primary Contact Name for the Ministry
Ministry Contact's Phone
Ministry Contact's Email
Do you want your gift to be anonymous?
Anonymous
- Yes
- No
Approximate $ amount of shares
Donor Authorization
Donor 1 Full Name
Donor 2 Full Name
Email
Phone
Donor 1 Address
Street Address City State ZIP Code
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

To contact Pamela Mills directly concerning gift clearing services, please use the information below.

Pamela Mills
3237 Satellite Blvd, Ste 150
Duluth, GA 30096-9028
P: 770.216.7534
E. pmills@gbfoundation.org