04/24/2000 Council Packet - Laserfiche WebLink

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• • • Wire Transfer Authorization FIRSTAR Firstar Bank offers three options for security procedures in accordance with the Transfer of Funds Terms and Conditions. Please select one procedure to be incorporated with the Personal Identification Number (PIN). Per your request, instructions are followed by the original Wire Transfer Authorization completed provided through the original or amended documentation per your request. ❑ PIN Only Security is based solely on the Personal Identification Number (PIN). A unique PIN will be assigned to each authorized representative and should be kept confidential. This is the default option. ❑ Call Back For each wire transfer request, security is based on the Personal Identification Number (PIN) and telephone verification by an authorized representative of your company. ❑ Call Back with Limits Wire transfer requests exceeding the authorized dollar limit need telephone verification by your company's authorized representative. Nonrepetitive Transfer Limit $ Repetitive Transfer Limit $ The customer agrees to notify Firstar Bank Wire Transfer Department in writing of any additions, deletions, or revisions to this authorization. Correspondence should be sent to: Firstar Bank Attn: Wire Transfer 777 East Wisconsin Avenue, JS6N Milwaukee, WI 53202 We hereby request the Bank provide wire transfer services to us, in accordance with the Transfer of Funds Terms and Conditions, a copy which has been provided to us. The Bank is authorized to accept wire transfer instructions for the above accounts) from an authorized representative of our company subject to the Transfer of Funds Terms and Conditions. Authorized Signer: Authorized Signer: Customer Name Date Title: Title: For corporations only: As corporate secretary, I certify that the above - signed individual(s) is(are) empowered to execute this agreement and that the above signature(s) is(are) authentic. Corporate Secretary Date ** *Firstar Bank Use Only * ** Firstar Employee Pin Authorization Request (Refer to the Wire Transfer Policies and Procedures) Employee's Position: Mail Location: Cost Center: Department Name: District Number: Credit Administration Signature: Date Regional/Department Head Signature Phone: Mail the completed form Interoffice to Wire Transfer Authority, Credit Administration, Mail Location 8025, Cincinnati, OH