CIRI Stock Gifting Request Form
If you are a CIRI Shareholder and would like a gifting packet mailed to you, please submit the below request form.
Name
*
First Name
Last Name
Email
*
Phone Number
Format: (000) 000-0000.
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Would you like the forms to be delivered electronically or mailed?
*
Electronic
Mailed
Would you like us to send you an affidavit form for the recipient(s) you intend to gift stock to?
*
Yes
No
How many recipients are minors (under age 18)?
*
How many recipients are adults (age 18+)?
*
Please verify that you are human
*
Submit
Should be Empty: