Stock Transfer Form

Making a gift of stock to InterVarsity Christian Fellowship is simple and may save you taxes!

When filling out the form below only InterVarsity will receive this information about your intentions. This will alert us to your desires and allow us to assist when the transfer takes place. Contact us at any point for assistance:

866-734-4823 or donorservices@intervarsity.org.

Please Note: You must contact your broker to initiate this transfer. To protect your assets this form does not collect any account numbers or values.

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 *

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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