Submit this form to receive DTC instructions (securities gifts only). Please note Marketable Securities received via BNY will be sold the next business day. If next-day sale is not possible, please do not proceed and contact us at 1-800-279-3099.

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Jennifer Saville

Advancement Services
130 East Seneca Street, Suite 400
Ithaca, NY 14850-4353
1-800-279-3099
607-254-1571
607-254-1204 (Fax)