Wire Transfers and Philanthropic Gift Notification

Gift Notification Form

Thank you in advance for completing this gift notification. Your support means so much to the Veterans of Duvdevan and their families. Please send the following information so we can be on the lookout for your donation, properly record it and give you our thanks in a timely manner. Any necessary tax receipts will be sent within approximately 2 weeks of receipt of donation processed by our bank.

Donor(s) Name :*

First Name(s)Last Name
Donor's E-mail*
example@example.com
Donor's Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Administrator/Additional Contact is to also be notified

YesNO
Additional Contact Name

First NameLast Name
Title
Phone Number
Please enter a valid phone number.
Email
example@example.com
Philanthropic Fund/DAF Issuing Donation:
(if applicable)
Name of stock being transferred to Friends of Duvdevan
Incoming Donation will be sent as:*

Wire TransferACH paymentCheckFIDF Designated DonationIsrael Bond DonationDonation of StockOther
Please let us know any pertinent details including approximate date of transfer, where it is coming from, any additional people working on the transfer.

Wire Transfer/ACH Bank Issuing Donation:
(if applicable)
Amount of Donation (so we can match tracking)*
Wire transfer:

JPMorgan Chase

Account number 742135491, Routing number 021000021.

Direct deposits and ACH transactions:

JPMorgan Chase

Account number 742135491, Routing number 072000326

Sale of Stock:

Morgan Stanley Smith Barney

DTC Clearing # 0015

FBO: Friends of Duvdevan

Account # 272-058773-368

Mailing Address:

Friends of Duvdevan
29476 Northwestern Hwy., Ste. 517
Southfield, MI 48034
Please add me to your newsletter and special messages list.*

YESnot at this time
Please add any note here:
For help in completing this form, please contact

Pamela Lippitt, Assistant Director
American Friends of Duvdevan

pam@duvdevanus.org

248-798-7824
Should be Empty:

Gift Notification Form