Notification of Stock Transfer

Let Us Know Your Intent to Transfer Legal Ownership of Your Shares

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Donor Information
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Stock Information
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Special Instructions
Broker Information
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Stock Transfer Instructions
Agent: Charles Schwab
Account name: Odyssey Family Counseling Center
Account #: 3448-2240
Charles Schwab DTC#: 0164
Please Email, Fax or Mail Completed Notification Form To
Charles Releford, Executive Director
Odyssey Family Counseling Center
1919 John Wesley Ave.
College Park, GA 30337
Email: creleford@odysseycounseling.org
Fax: (404) 762-9101
Phone: (404) 762-9190