Securities Gift Transfer
Thank you for making a gift of stock or other securities! Upon completion of this form you will be invited to download our broker's contact information, to complete your transfer. If you have any questions, please contact us at development@santacruzmuseum.org. Our Tax ID is 94-2427733. Thank you! 
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Email *
Name(s) *
Is this gift anonymous? *
If not anonymous, under what name(s) may we recognize this gift?
Mailing address (for receipt) *
Name and type of securities (e.g. IBM common stock) *
Number of shares *
Expected date of transfer
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Broker's Name *
Broker's Company
Broker's Phone Number *
Broker's Email *
Your last step is to contact the Museum's broker. Once she confirms receipt of your gift, a receipt will be mailed to the address provided above. Thank you for your gift!
A copy of your responses will be emailed to the address you provided.
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