Stock Transfer Form


        
            
                
									
                        
                    
                    
                    
                        
                            
                                
                                    Stock Transfer Form
                                
                            
                            
                                
                                    
                                        
                                            
                                                
                                                    Thank you for your willingness to support the Biking for Babies mission with your securities (stock or bonds) donation. Please note that you must initiate the gift from your broker as well as fill out the following form. If you have questions, our accountant, Brittany Ross, can be reached at brittany.ross@bikingforbabies.com. 
                                                
                                            
                                        
                                        
                                            First Name*
                                            
                                        
                                        
                                            Last Name*
                                            
                                        
                                        
                                            Email*
                                            
                                        
                                        
                                            Phone*
                                            
                                        
                                        
                                            Address*
                                            
                                        
                                        
                                            
                                        
                                        
                                            
                                        
                                        
                                            
                                        
                                        
                                            
                                        
                                        
                                            Broker Name*
                                        
                                        
                                        
                                            Stock Name*
                                            
                                        
                                        
                                            Stock Symbol*
                                            
                                        
                                        
                                            Number of Shares*
                                            
                                        
                                        
                                            Designate this gift to:*
                                            
                                        
                                        
                                            Form Filled Out By*
                                            
                                        
                                        
                                            Anticipated Gift Date*
                                            
                                        
                                        
                                            Notes
                                            Include other information here.
                                            
                                        
                                        
                                            
                                                Notify your bank or brokerage firm of your intention to gift the specific securities you have in mind to:
                                                


                                                Receiving Account Name: Biking for Babies

                                                Receiving Firm/DTC Number: 0701

                                                Receiving Account Number: 3RN03V9Y


                                        
                                                You’ll most likely need to sign a Letter of Authorization/Third Party Release Form; designating the amount and type of securities you would like to gift.



                                                If your bank or brokerage firm has any questions, they may contact our Regions Bank financial representative, Matt Robinson, at matthew.robinson2@regions.com or 314-615-3503.


    
        Stock Gift Information Received
        Thank you for your generous gift in support of the Biking for Babies mission. With your continued help, we will renew the culture of life, change the hearts and minds of young men and women, and bring essential support to pregnant women and families. Be assured of our prayers for you and your intentions. Please pray for us!

God bless,

Nikki Biese
Biking for Babies Executive Director

Stock Transfer Form

Stock Gift Information Received

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