ccouni Name; Oiedr Q Issue a check In the amount of $ RedpiendsName: Redptenl's Maing Address: payeble lo: at Receiving Firm Accouni Number: Qty/Symbol/Seounty. EFTA01400239 Qty/Symbol/SeourilY' Stancfing Authcriiation Q The undersigned hereby requests that this authorization ael as a standing authoriz