Charitable Gift Form: Securities Donation
Thank you for making a charitable gift to the Justice Policy Institute(JPI). Please complete the information below to notify the Justice Policy Institute of your gift and help ensure it is processed accurately.
Donor & Securities Information
Name & Type of Securities:
(e.g.: DELL common stock)
Number of Shares:
MM slash DD slash YYYY
(Individual, Corporation, Foundation)
State / Province / Region
ZIP / Postal Code
Donor Telephone Number:
(to be used only if a question/problem arises in the donation process)
Donor wishes to receive acknowledgement via email:
Broker Contact / Telephone Number:
Justice Policy Institute is a registered 501(c)3 organization and all contributions are tax deductible as permitted by law.