2022‐2023StockGiftInformationForm
IwishtoalertyouthatIammakingagifttoStevensviaanelectronicstockgifttransfer.Belowistheinformationneeded
toproperlydirect,acknowledge,andreceiptmygift.
From(DonorName):
StockName(incl.symbol):
Numberofsharesgifted:
CUSIPnumber:
Expecteddateoftransfer:
Broker’sname:
Brokeragefirm:
Broker’sphone#:
Designation/UseofGift:
Specialnotes:
PleasereturnthecompletedStockGiftInformationFormviaemailorfaxto:
ZefFerreira,OfficeofDevelopment
StevensInstituteofTechnology
1CastlePointTerrace
Hoboken,NJ07030
Phone:201‐216‐5247
Fax:201‐216‐8247