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Donor's Contact Information:

Name
Address
City
State
Zip Code
Phone
Email

Donor's Broker's Contact Information:

Firm's Name
Broker's Name
Phone
Email

Gift Type:

 
Name of Security
Security Symbol
Number of Shares to be Given
Expected Transfer Date
Approximate Value of Shares

Pressing the “submit” button below sends your completed form, via e-mail to Special Olympics Texas. Within 5 business days of receipt of both your completed Notification Form and the actual securities to be transferred, Special Olympics Texas will complete and send your “Donor Packet.” Please understand that electronic security transfers can take up to 3 full business days.