Stock Donation to ONE Orinda

Stock Donation to ONE Orinda

Thank you for your interest in donating stock to Orinda Network for Education.
Please complete the electronic form below

This form serves two purposes. First, it notifies ONE of your intent to donate and allows us to designate the funds according to your wishes when the funds arrive. Second, it will generate a PDF, sent to you via e-mail, for you to share with your broker to authorize the transaction. The PDF will include ONE's brokerage account information.
Your Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *
Please enter a valid phone number.
Email *
example@example.com
Student(s) Name(s) and Grade(s) *
I wish to make a charitable contribution today of: *
Total Number of Shares to Donate
Name of Stock *
Designation: *

Split my donation among different schools Del Rey Elementary School Glorietta Elementary School Sleepy Hollow Elementary School Wagner Ranch Elementary School Orinda Intermediate School Miramonte High School ONE General Fund
Designation 1: *

Del Rey Elementary School Glorietta Elementary School Sleepy Hollow Elementary School Wagner Ranch Elementary School Orinda Intermediate School Miramonte High School ONE General Fund
1 - # of Shares *
Designation 2: *

Del Rey Elementary School Glorietta Elementary School Sleepy Hollow Elementary School Wagner Ranch Elementary School Orinda Intermediate School Miramonte High School ONE General Fund
2 - # of Shares *
Do you have a third school designation?

Yes No
Designation 3:

Del Rey Elementary School Glorietta Elementary School Sleepy Hollow Elementary School Wagner Ranch Elementary School Orinda Intermediate School Miramonte High School ONE General Fund
3 - # of Shares
Would you like to be recognized in a published list of donors? *

Yes No - I wish to remain anonymous
Recognition Name
Please indicate how you would like your name to be listed.
If you intend to use the PDF of this form to initiate the transaction with your broker, please fill out the additional information below. If not, please sign the form and click submit to notify us of your donation.
Brokerage Firm Name
Account Number
Account from which to transfer
Brokerage Firm Phone
Brokerage Firm Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Electronic Signature: *

Clear
Should be Empty:

Stock Donation to ONE Orinda

Please complete the electronic form below

If you intend to use the PDF of this form to initiate the transaction with your broker, please fill out the additional information below. If not, please sign the form and click submit to notify us of your donation.