QI Issue a check in the amount of $ Reopieni's Name: Recipieni's Maiing Address: Account Name: payable to: Account Number; at Receiving Firm Otv/Symboi/Secutity; Qiy/Symboi/Seourity: EFTA01403975 Standing Authorizalian Q The undersigned hereby requesls that this authonration act as a standing authorizat