Stock Gift Form Thank you for considering a gift of appreciated securities to Georgetown. If you need assistance with your gift, please email stocktransfer@georgetown.edu. You may complete the below stock gift form or print the PDF form with transfer instructions. If you are giving through a Morgan Stanley account or a former ETrade account, please know these brokers do not share identifying information with the stock transfer. Please reach out to us directly at stocktransfer@georgetown.edu to make sure that your gift is properly credited. Easily fill out your Gift of Stock Transaction in the form below: Contact InformationFirst Name* Last Name* Address* Address 2 City* Country* StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip/Postal Code* Email Address* Phone Number Georgetown School and Year Affiliation Brokerage InformationBrokerage/Financial Institution* Broker Name Broker Phone Broker Email Stock/Security InformationStock/Security Details I am unsure of the exact stock/securities that will be donated. However, I will follow-up with your office once the decision is made What is the name and/or ticker number of the stock/security you'd like to give? Number of Shares Gift Designation Intended Value Add a stock/security?NoneAdd OneAdd TwoAdd ThreeWhat is the name and/or ticker number of the stock/security you'd like to give? Number of Shares Intended Value Gift Designation What is the name and/or ticker number of the stock/security you'd like to give? Number of Shares Intended Value Gift Designation What is the name and/or ticker number of the stock/security you'd like to give? Number of Shares Intended Value Gift Designation PhoneThis field is for validation purposes and should be left unchanged.