Q Issue a check in the amount ol $ Recipient's Name: Reapienfs MaSng Address: payable to: Accoum Number: at Receiving Firm Qty/Symboi/Secunty: Oly/Symbol/Secuniy: EFTA01404552 Standing Authanzabon Q The undersigned hereby requests that this authonzation act as a standing authonzation. The undersigned unde