m the amount of $ Recipienfs Name: Recipient's MaUng Address; Account Name: peyaUeto; Account Number; et Receiving Firm Oty/SymbpifSocuritv: Oly/SymbolrSecurity: EFTA01401043 Slattding Aiithorimtkxt G The undeisigned hereby requests that this authortzelicn act as a standing authorizallon. The undersigned