Help protect vital natural spaces

Throughout Northeast Ohio

Your donation helps protect local natural areas, open spaces, streams and waterways. We’re reclaiming vacant urban lands and restoring streams, wetlands, woods and natural habitats right here in our community.

Section 1: Donor Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Section 2: Public Information
Public Recognition*
- West Creek Conservancy may publicly acknowledge my gift.
- I would like my donation to remain anonymous.
Name(s) to recognize:
Broker's Information
Name*
First Last
Company*
Phone*
Email*
Transfer Information
Date of Transfer*
Stock #1 Name & Ticker
Number of Shares for Stock #1
Stock #2 Name & Ticker
Number of Shares for Stock #2
Stock #3 Name & Ticker
Number of Shares for Stock #3

West Creek Conservancy’s stock transfer information:

Account Name: West Creek Conservancy (Tax ID# 34-1859064)
Account Number: 3VK766631
Depository Trust Company (DTC) Number: 0443

West Creek Conservancy Broker Information:

CUNA Brokerage Service, Inc.
2000 Heritage Way
Waverly, IA 50677
800.356.2644, Ext. 665.5092 | O 608.665.5092 | F 608.236.6191

Every effort will be made to liquidate the stock as quickly as possible. After West Creek Conservancy receives this form and confirms the donation, the staff will issue an official acknowledgement letter to the donor.

West Creek Conservancy is a registered 501(c)(3) nonprofit organization. All contributions are tax-deductible to the fullest extent provided by law. Please contact your tax advisor for complete tax deductibility rules.

Questions? [email protected] | 216-749-3720