Gift of Securities | Fairfield Museum and History Center

Please use the following form to request instructions for sending your gift of securities to the Fairfield Museum. Upon submission of the form, you will receive an email confirmation with instructions for completing your transfer.

Your contribution may be tax deductible within the limits prescribed by law.

If you have questions, please contact the Development Office at (203) 259-1598 (Mon-Fri, 10 am-4 pm EST). Thank you for your support!

Gifts of Securities Form

Name(Required)

First Last

Email(Required)

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If you are using a broker, please provide their name and email address below.

Securities Name(Required)

Expected Value(Required)

Expected Date of Transfer(Required)

Please tell us anything else we should know about your gift.

Name

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Gifts of Securities Form

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