Stock Donation Form

Thank you for considering a gift of stock to support Land O’ Lakes Arts (LOLA), 4262 County Rd B, Land O Lakes, WI 54540. If you plan to donate stock, please help ensure timely and accurate processing of your gift by completing the form below to let us know your gift is on its way. Transfer instructions follow the form.

Donor Information

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Stock Information

Name & Type of Securities (for example: General Motors, common stock)

Number of Shares

Date of Transfer

Donor's Broker Information

Broker Name

First Last

Broker Company

Phone

Choose a Designated Fund:(Required)

General Fund

Sandra Hardy Brown Education Fund

Building Fund

Scholarship Fund

Tribute Gift