Receiving Firm: Check Q Issue a check in the emouiti of s neapfem'sNama: Reopient'sMaiingAddiBSs: Account Name- paryablaiD: Account Number; at Baoeiving Firm EFTA01402977 Oty/Symbol/Security: Qty/Svmbol/Security: Standhg Authorsation Q The undersigned hereby requests that this aulhorizalkJn act