The undersigned hands herewith ________ shares of ___________________________ duly assigned, and requests that you place said securities in the account of the Virginia Tech Foundation, Inc., whom you may, for all purposes whatsoever, treat as the sole owner(s) of said securities, and proceeds thereof.

This gift should be applied towards _________________________________________.

Download:

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• Letter of Authorization, as Adobe Acrobat file (.pdf, 4 KB)

 

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