Signature Card for Current Account Nr.
1 Current Account Holder
Name/Firm
Address
Postal code/City
Country
Telephone
Fax
2 Signatory Authorization
The persons named below are authorized to conduct business for current account No.
,
held by the person listed above, at the Swiss Federal Institute of Intellectual Property. In particular, they are authorized to send debit orders, notification of errors and instructions to close
the current account.
Last name/First name
Address
Postal code/City
Country
Signature of authorized person
Group signatory authorization
Individual signatory authorization
Last name/First name
Address
Postal code/City
Country
Signature of authorized person
Group signatory authorization
Individual signatory authorization
Please turn page
1
Last name/First name
Address
Postal code/City
Country
Signature of authorized person
Group signatory authorization
Individual signatory authorization
Last name/First name
Address
Postal code/City
Country
Signature of authorized person
Group signatory authorization
Individual signatory authorization
Last name/First name
Address
Postal code/City
Country
Signature of authorized person
Group signatory authorization
Individual signatory authorization
I/We have read and agree to the general conditions regulating the establishment and use of a current
account at the Federal Institute of Intellectual Property, and, in particular, the conditions in the event of
legal proceedings.
3 Signature(s)
Contact person
Place/date
Signature(s)
2