UCIP

				Bank Accounts, Cheques, Credit Cards

USA Dollars		Euros		Swiss Francs		Bank Cheques		Credit Cards

				USA Dollars

				In Switzerland Name of the account holder: UCIP Name of the Bank: UBS SA, Case Postale, 1211 Genève 2, Switzerland Swift Code or BIC: UBSWCHZH80A Account number (IBAN) in US$: CH55 0024 0240 4711 6063 T

				In USA Name of the account holder: UCIP Name of the Bank: UBS AG STAMFORD 677 Washington Boulvard, Stamford, Connecticut 06912-0305, USA Swift Code or BIC: UBSWUS33 ABA 026 007 993 Bank Code: 21113141 Account number (IBAN) in US$: CH55 0024 0240 4711 6063 T

				Euros

				In Switzerland Name of the account holder: UCIP Name of the Bank: UBS SA, Case Postale, 1211 Genève 2, Switzerland Swift Code or BIC: UBSWCHZH80A Account number (IBAN) in Euro: CH49 0024 0240 4711 60M7 T

				In Switzerland Name of the account holder: UCIP Name of the Bank: Post Finance, 1202 Geneva, Switzerland Swift Code or BIC: POFICHBE Account number in Euro: 91-848331-4 IBAN: CH72 0900 0000 9184 8331 4

				In Germany Name of the account holder: UCIP Name of the Bank: DKM, Breul 26, Münster 48143, Germany Swift Code or BIC: GENODEM1DKM BLZ: 400 60 265 Account number in Euro: 17 651 660 IBAN: DE49 4006 0265 0017 6516 60

				In Vatican Name of the account holder: UCIP Name of the Bank: IOR, Vatican Swiftcode: IOPRVAVX Account number in Euro: 16586001

				Swiss Francs

				In Switzerland Name of the account holder: UCIP Name of the Bank: UBS SA, Case Postale, 1211 Genève 2, Switzerland Swift Code or BIC: UBSWCHZH80A Account number in CHF: 240-471 160 M6F IBAN: CH23 0024 0240 4711 60M6 F

				In Switzerland Name of the account holder: UCIP Name of the Bank: Post Finance, 1202 Geneva, Switzerland Swift Code or BIC: POFICHBE Account number in CHF: 10-267424-0 IBAN: CH98 0900 0000 1026 7424 0

				Bank Cheques

				Please send a bank cheque in favour of UCIP (please add Euro 10 or equivalent for bank charges).

				Credit Cards

Please copy, complete and send this form to UCIP, CP 197, 1211 Genève 20, Switzerland.

[ ] Please charge the sum of . . . . . . . . . to my credit card [ ] Visa, [ ] Euro/Master Card, [ ] American Express (Credit card charges are made in Swiss francs, Euros or US dollars with plus 7% for bank charges.)

Credit card number:
Card holder’s name:
Card holder’s address given to credit card:
Security number (CVV2) in the signature field:
Expires (date):
Signature:

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