Please complete the form below and send your stock by electronic transfer (preferred method) or registered mail. Electronic Transfer Instructions: Charles Schwab & Co. | P.O. Box 628291 | Orlando, FL 32862 | 1 (800) 435-4000 or 1 (800) 746-6216 | DTC: 0164 Code: 40 (if needed) | Account Number: 9490-2483 | Account Name: The Carter Center, Inc.Registered Mail Instructions: For security, please send two pieces of mail to Maurita Dilworth, Gift Program Coordinator | The Carter Center | One Copenhill | 453 John Lewis Freedom Parkway | Atlanta, GA 30307. In one envelope, send your unendorsed stock certificates. In a second envelope, mail your signed stock power form. Your signature on the form must be guaranteed by an authorized individual at a bank, trust department, or brokerage firm with a green medallion stamp. If you have any questions, please contact Maurita Dilworth at 1 (800) 550-3560, ext. 131 or maurita.dilworth@cartercenter.org.
*
Name:
First Required
Middle Required
Last Required
Email: Required
Street 1: Required
Street 2:
City/State/ZIP:
City Required
State Required
ZIP Required
Country:
Phone Number: Required