Stock Gift Transfer

This form serves as notification of your intention to make a gift of stock to Bethel Woods Center for the Arts.
It is important that we are notified prior to any stock transfer, in order for us to accurately identify, allocate, and acknowledge your gift. Please complete the following required information.



Personal Information
Name (First , Last )
Address #1
Address #2
City , State, Zip
Phone
Email Address
   
Gift Details  
Name of Stock
Number of Shares
   
Broker Information
Name of Brokerage or Bank
Address #1
Address #2
City , State, Zip
Phone
Fax
Email Address
I have checked the information about the gift I am making, and wish to submit it.

I understand that the effective date of gift will be the date my gift is received in Bethel Woods Center for the Art's account.