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FIDELCO Guide Dogs

FIDELCO Guide Dogs

Stock Transfer

Charitable Stock Transfer Form

Complete this form to tell us that you have initiated a stock transfer with your broker as a gift to Fidelco Guide Dog Foundation.

For electronic transfers, transfer to:

Charles Schwab DTC
Clearing #0164, Code 40
FBO: Fidelco Guide Dog Foundation, Inc.
A/C # HT3268-9509

Donor Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Broker & Account Information
Broker Name*
First Last
Brokerage Firm*
Name of Stock*
Number of Shares to Be Donated*
Estimated Amount of Donation*

PDF Charitable Stock Transfer Form

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