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Securities Transfer Initiation Form
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Securities Transfer Initiation Form
Please note that this is for Fairfield University and you must contact your broker to initiate the securities transfer.
First Name
Last Name
Preferred Email
Email
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each of the above components
and be at least 12 characters.
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Re-type your email.
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Inputs match!
Affiliation:
Please Choose
Alumnus/a Bachelor Degree
Alumnus/a Graduate Degree
Alumnus/a Associate Degree
Certificate Recipient
Parent
Friend
Faculty/Staff
Class Year:
Preferred Phone:
Stock Gift Information
Name of Stock:
Number of shares to be transferred:
Anticipated date/timeframe for transfer:
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RadDatePicker
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Calendar
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Where would you like your gift to go?
Brokerage/Bank Information
Name of Broker/Bank that will execute the stock transfer:
Contact Name:
Contact Phone:
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