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Wire Instructions

Beneficiary Financial Institution
Account Type: ................... Bank Identifier Code (BIC)/SWIFT
SWIFT/CHIPS/Account # .................
Bank Name: ......................
Address Line 1: .................
Address Line 2: .................
City and State
Country




Beneficiary
Account Type: ................... Account Number
Account #: ......................
Account Name: ...................
Address Line 1: .................
Address Line 2: .................
City and State
Country Code: ...................

                                                                Optional If Needed -

Intermediary Financial Institution
Account Type: ...................                                                              
SWIFT/CHIPS/Account #: ..........
Bank Name: ......................
Address Line 1: .................
Address Line 2: .................
City  State  Country