Submit this form to receive DTC instructions (securities gifts only). Upon submission, you will receive a confirmation email with DTC instructions to share with your financial advisor. From time to time DTC instructions may change so it is important this form be completed every time you wish to make a gift of securities.

Please note Marketable Securities received via BNY will be sold the next business day. If next-day sale is not possible, please do not proceed and contact us at 1-800-279-3099.

Donor information

Broker information

Stock information

Contact

Jennifer Saville

Advancement Services
130 East Seneca Street, Suite 400
Ithaca, NY 14850-4353
1-800-279-3099
607-254-1571
607-254-1204 (Fax)