W90WH9-09-T-0051 -- UQ Cement - Conveyor Belts

W90WH9-09-T-0051 – Attachment 1 (EFT & Wire Transfer Authorization Forms)

INSTRUCTIONS FOR COMPLETING WIRE TRANSFER AUTHORIZATION FORM

· Include the name or Company as it appears on the invoice. This should be the same as the name on the contract.

· This address should be the physical address of the business.

· The city, state, country and postal code should be for the physical address.

· The mailing address should include any and all Remit to/payment addresses that are different from the physical address.

· Include daytime phone number or email address in case there are questions concerning the completed form.

Payee’s Banking Information:

· The name of the bank for the person or company listed in block 1.

· Bank address

· City, state, country, and postal code of the bank.

· The SWIFT or Bank Identifier Code (BIC) of the bank.

· The account number at this bank of the person or company listed in block 1.

· Exact name on the above account at this bank. Bank will not credit the account if the recipient of the wire transfer is different than the name on the account.

1st Corresponding Bank:

· Name of corresponding bank. If this bank is not located in the United States, completion of blocks 17 – 21 is also required.

· Address of corresponding bank.

· City, state, country and postal code of corresponding bank.

· SWIFT or Bank Identifier Code (BIC) (if bank is located outside the US) or ABA number of corresponding bank.

· Account number at corresponding bank of bank listed in block 6.

2nd Corresponding Bank:

· Additional corresponding bank if first corresponding bank is not located in the United States.

· Address of this corresponding bank.

· City, state, country, and postal code of this corresponding bank.

· SWIFT (BIC) code or ABA number of this corresponding bank.

· Account number at this corresponding bank of the bank listed in block 12.

Blocks 17 thru 21 will only be necessary if the first corresponding bank is not located in the US