Gift of Appreciated Securities Form | University of Wisconsin Foundation

Inform us of your intent to give a gift of appreciated securities! Upon submission, transfer instructions will be sent to the email address(es) provided.

If you have any questions, please contact a member of the Gift Services team at [email protected] or 1-800-443-6162.

Donor Information

Name*

First Last

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Brokerage Information

Please provide contact details for your broker, if applicable.

Broker Name

First Last

Broker Email

Broker Phone

Upon submission of this form, a confirmation message with detailed transfer instructions will be sent to the donor and broker email addresses provided.

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Donor Information

Brokerage Information

Gift Information