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CHASE ! M <br />Merchant Services • 4 Northeastern Boulevard. Salem, NH 03079-1952 • wmv.chasepaymemech.com <br />Phone: (603) 896-6000 • Fax: (603) 896-8715 • Merchant—SeN!ces@ChasePaymentech.com <br />Nntpr Whpn cpHlna rm muftinlp hank arrnantc. nlaaca rmmntato a canasta fnrm fnr aarh_ <br />SECTION 9: BANK ACCOUNT INFORMATION <br />Check only one <br />Settlement Currency in which we <br />Deposit <br />Complete all sections <br />of the 7 options <br />will fund to you <br />(Country where your Bank Acct <br />listed: <br />below <br />Special Wire Instructions: 60 bytes) <br />Resides <br />Option #1 ® <br />USD <br />USA <br />A, E <br />See section A Note section <br />Option #2 ❑ <br />CAD <br />CAN <br />Bt to 83, E <br />Option #3 ❑ <br />USD <br />CAN <br />B1 to B3, D3, D4, E <br />.Option #4 ❑ <br />USD <br />Inl'I <br />C1 to C3, D1, D3. D4, E <br />list country funds are beinct deposited int <br />Option #5 ❑ <br />❑Euro, ❑GBP, ❑ JPY, ❑AUD, ❑ <br />Euro Bank or SAME as <br />C1 and/or C2, C3, E <br />HKD, ❑DKK, ❑CHF, ❑NOK, ❑SEK, <br />presentment/seltlement currency <br />❑NZD, ❑ZAR <br />Option # 6 ❑ <br />❑Euro, ❑GBP, ❑ JPY, ❑AUD, ❑ <br />If DIFFERENT than Settlement <br />C1 and/or C2, C3, D1 <br />HKD. ❑DKK ❑CHF, ❑NOK ❑SEK, <br />Currency <br />and/or D2. D4. E <br />❑NZD, ❑ZAR, ❑USD <br />Intl <br />list country funds are being deposited In <br />Option #7 ❑ <br />❑Euro, ❑GBP, ❑ JPY, ❑AUD, ❑ <br />CAN <br />B1 to B3, D1, D4, E <br />HKD, ❑DKK, ❑CHF, ❑NOK, ❑SEK, <br />NZD, ❑ZAR <br />Section A: US BANK ACCOUNT INFORMATION <br />select orrhy one method of transfer <br />® ACH Transfer 3 2 2 1 ? 1 7 1 6 2 <br />7 (ABA #) <br />❑ W re Transfer (see Note) <br />(Fedwire#/Routing #) <br />❑ Swift Transfer (see Note) <br />(Swift Code: to to i r byres) <br />Please Note: Swift code is required if your division is located outside of the US or Canada and is settling funds in USD. <br />Wire transfer requires both ACH ABA# and FedwineglRoutingk <br />Special Wire Instructions: 60 bytes) <br />Bank Account #: 935309500 Company Name: (As appears on Bank Account) <br />Financial Institution Name: J.P Morgan <br />City: Irvine State: CA Zip/Postal Code: 92614 <br />® Checking OR ❑ Savings <br />City of Santa Ana <br />Country: United States <br />Section B: CANADIAN BANK ACCOUNT INFORMATION: Ti <br />Bt I Institution Number. I I I I EFT Branch Transit Number. <br />B2 I Swift Code: (8 to 11 bytes) I I I I I I I I I I I I (required if settlement is USD) <br />83 Bank Account # Company Name: (As appears on Bank Account) <br />Financial Institution Name: <br />City: Province: <br />❑ Checking OR ❑ Savings <br />Postal Code: Country: Canada <br />Ravi 1118/10 256-85 <br />_85 Nevi DivisioNcboo <br />