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Stock Gift Notification

Please complete this stock gift notification form and click the submit button to notify the EyeCare Project of your gift. OR, print, fill out and fax to 949-673-2356.
First Name *
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SECURITIES GIFTED
   
Date of Transfer 
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This gift is in   Honor :   Memory
Name 
Please send notification to:
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This Gift Is Bieng Matched By:
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