Contact Person’s Details

Names of Persons Authorized to Sign

PLEASE NOTE THE FOLLOWING: The “A” signer is the primary signer on the account and a “B” signer is the secondary signer on the account. Please indicate the signing instructions for this account on the line below. Please note that if nothing is indicated, any one signature will be accepted, provided however that where the account is being used as collateral to secure any loan, guarantee, indemnity, undertaking or other form of financial exposure, Capita Financial Services Inc. reserves the right (but shall not be obliged) to require all the named account holders to sign the required documents.

STATE HOW MANY AND WHAT COMBINATION OF SIGNATURES ARE REQUIRED TO EFFECT A TRANSAC- TION ON THIS ACCOUNT. A right of survivorship applies to joint accounts. It has the effect that on the death of one of the joint account holders, his or her entire rights and interest in the account accrue automatically to the other joint account holder(s), and do not form part of the deceased joint account holder’s estate.

General Resolution Form