Securities Donation Notification

Securities Donation Notification

To be completed by donor when donating a stock or mutual fund.
Todays Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Donor's Name

First NameLast Name
Joint Donor's Name, if applicable

First NameLast Name
Donor's Email
example@example.com
I freely donate to First Free Church:
I would like to designate the gift as follows (enter percent or amount):
Transfer of shares to Charles Shwab and Co, DTC #0164, FBO First Evangelical Free Church of St. Louis County, Account #3415-0821, was requested on:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please add any comments or additional instructions below:
If you have any questions, please contact the First Free Contributions Manager at giving@efree.org or 636-779-2111.
Should be Empty: