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Donate Stock and Securities 

1. For stock and securities donations, please print out this page. Fill out the form and give it to your broker, or contact Corinne Ahearn at (212) 647-8330 or .

2. Please ask your broker to fax a copy of these stock donation instructions to us at (212) 647-8334. In order for Blacksmith Institute to confirm the receipt of your stock gift, please include your name, address, telephone number, and e-mail address. 


Brokerage Firm: ________________________________
Broker: ________________________________
Address: ________________________________
  ________________________________
Re: Account #: ________________________________
Account Title: ________________________________


Dear Broker:
Please accept this letter as authorization to gift:

_________ shares of _____________________ stock to:

Blacksmith Institute, a 501(c)(3) public charity

Merrill Lynch
DTC number: 5198
Account number: 857-02093

Thank you for your immediate attention to this matter.

Sincerely,

____________________________
Signature of gifting share holder (donor)
_______________________
Date


PS: Please provide us with contact information for acknowledgment.
Donor name: ___________________________
Address: ___________________________
  ___________________________
Phone: ___________________________
Fax: ___________________________
Email: ___________________________

* 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.