Broker Authorization Letter

Letter of Authorization to Broker Duplicate

Date

Broker's Name

First Last

Company

Address

Street Address City State / Province / Region ZIP / Postal Code

Dear

Name(Required)

Please accept this form as your authorization to transfer irrevocably the following securities out of my account #

Account Number(Required)

as a gift to Public Radio For The Front Range (KRFC 88.9 FM):

Name of security/securities:

Name of security(Required)

Number of shares:

Number of shares

KRFC 88.9 FM prefers that the securities be electronically transferred to its account at:

Morgan Stanley
Attn: Joyce Moreno 6125 Sky Pond Drive
Suite 100
Loveland CO 80538 970-776-5520
DTC #0015 Acct# 687-023132-092

This gift is for the benefit of the following department, program, fund, or project (allocation instructions):

To ensure this gift is properly allocated, please send gift details, including donor name(s), name of security, number of shares, and allocation instructions to donations@krfcfm.org and include this information on the transaction memo line.

Sincerely,

Signature

Printed Name