Thank you very much for your desire to donate stock to help orphans in need.
Please print, complete, and sign this form, then mail original to your broker or financial advisor,
and fax or mail a copy to the Orphan’s Hope address below. Your stock donation can then easily
be transferred to the Orphan’s Hope account and we will send you a receipt.

Thank you very much for your kindness in helping impoverished children who have lost their
parents, and helping Orphan’s Hope transform their lives.

Orphan's Hope - Stock Transfer Authorization

Attn: ______________________________(Donor’s Broker/Financial Advisor)

Please accept this letter as authorization to transfer the following stock

from my account to the Orphan’s Hope account at
UBS Financial Services - Account #:7A18489 and DTC #:0221.
UBS Contact: Greg Johnson toll free at 877-303-5990.

_________________________________________     _______________  
Name & Type of Securities (ie: IBM common stock)        Number of Shares            


___________________________________       ______________________________________
Donor’s Name                                                       Broker’s Company

___________________________________       ______________________________________
Donor’s Street Address                                         Broker’s Phone Number


____________________________________    _____________________________________
Donor’s City/State/Zip                                          Donors Account Number


____________________________________   
Donor’s Phone (Only used if question arises with donation.)     

Thank You,

_________________________________ Signature

_________________________________ Print Name Here

_________________ Date