Stock Donation Information
Stock donations are often a part of a charitable contributions
plan. The Tarahumara Children's Hospital Fund has established an account
to receive stock donations.
The form below is for your use. Your stock broker will be
glad to assist you. Also, you may contact Mark Fisher at the following
address:
Mark Fisher
Morgan Stanley Dean Witter
1001 S.W. 5th Avenue #2200
Portland, OR 97204
Tel: 503-221-8600 Fax: 503-552-3381
Thank you for your interest in the Tarahumara Mission.
sincerely,
Father Pedro de Velasco
Stock Donation Request Form
Your Name and Address (The Donor)
_______________________________
_______________________________
_______________________________
Date:__________________________
Your Broker's name and address
_______________________________
_______________________________
_______________________________
Your account number ______________________
DTC # ___________________
Dear Sirs:
Upon receipt of this letter of authorization, please
transfer________________________ shares of ____________________
to:
MORGAN STANLEY DEAN WITTER
1001 SW FIFTH AVENUE #2200
PORTLAND OR 97204
ATTN: MARK R. FISHER
FBO: TARAHUMARA CHILDREN'S HOSPITAL FUND
109-014026-096
DTC #015
Thank you,
(Donor signs here)
**** Important Notice to Recipients ****
It is important that you do not use e-mail to request, authorize or
effect the purchase or sale of any security or commodity, to send fund transfer instructions, or to effect any other transactions. Any such request,
orders, or instructions that you send will not be accepted and will not be processed by Morgan Stanley Dean Witter.
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