Stock Transfer Intention Form

It's simple to make a gift of stock to Waynesburg University!

We will receive basic information about your intentions, so we can lend any assistance and credit your gift when it arrives.

Steps:

Notes:

Bolded items with an asterisk (*) are required fields.

Donor Information

Name*

Address 1*

Address 2

City*

State*

Postal Code

Country

E-Mail*

Home Phone*

Brokerage/Financial Institution Name*

Broker/Contact Name*

Broker/Contact Phone*

Broker/Contact E-mail

Broker/Contact Fax

Anticipated Transfer Date*

Stock Name*

Number of Shares*

My gift is available for the unrestricted use of Waynesburg University.

I would like to designate my gift for a specific use.