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OF YOUR GIFT OF STOCK

We wish to ensure gifts are properly received and acknowledged. So please download, fill out and mail us the following form: Notify HelpMeSee of your Gift of Stock.

Please include the type of stock transferred, number of shares and transfer date in the notes section of this form.

Fields with an * are required.

First Name*

Last Name*

eMail Address*

Phone Number*

Address 1

Address 2 (Apt, Suite, Floor, etc.)

City

Province

State

Zip Code

Type of Stock

Number of Shares

Financial Institution

Broker's Name*

Broker's Phone Number*

Date of Purchase

Approximate Transfer Date

Would you like to add any additional information or have specific instructions? Please add here.

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HelpMeSee, Inc.
1 Evertrust Plaza, Suite 308
Jersey City, NJ 07302

+1 844-435-7637 (toll-free in the U.S.)
+1 212-221-7606 (international)

For media inquiries, please email us directly at [email protected].
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