Stock
Donation Form
Date: ___________________________
Name and Address of Broker:
___________________________________
___________________________________
___________________________________
Re: Account # ___________________________________
Donor’s Name: ___________________________________
Dear Sir or Madam:
Please transfer the following securities:
| #
shares |
(Name
of Stock / Mutual Fund)
|
| ________ |
____________________________________
|
| ________ |
____________________________________
|
Transfer
via DTC to UBS Financial Services, Inc. 0221
____
GENERAL FUND
Acct. Number JR 28036 LH
For
the account of:
First Presbyterian Church of Honolulu
45-550 Kionaole Road
Kaneohe, HI 96744 |
____
CAPITAL CAMPAIGN
Acct. Number JR 28034 LH
For
the account of:
First
Presbyterian Church of Honolulu
45-550 Kionaole Road
Kaneohe, HI 96744 |
Thank you very much.
Sincerely,
| ______________________________________
|
______________________________________ |
| (Donor’s
Signature) |
(Co-Signature,
if required) |
| ______________________________________
|
______________________________________ |
| (Print/type
Donor’s Name) |
(Print/type
Co-Signer’s Name) |
| Address: |
(Address) |
| ______________________________________ |
______________________________________ |
| ______________________________________ |
______________________________________ |
| Phone
Number(s): |
|
| ______________________________________ |
______________________________________ |
| ______________________________________ |
______________________________________ |
Please
send the completed form directly to your broker and a copy
to the church.