|
KINDLY REMIT BY SWIFT THE SUM OF
.......................................................................................
.......................................................................................................
(....................................)
| To: |
FORTIS BANK NV/SA
MONTAGNE DU PARC 3
1000 BRUSSELS - BELGIUM
|
| SWIFT |
GEBA BE BB |
| Account
Number |
291-1192116-83 EUR-00
291-1192116-83 USD-0
|
| For the Account of:
|
THE TRUST BANK LTD
FOREIGN DEPARTMENT
P. O. BOX 1862
ACCRA, GHANA
SWIFT: TRBLGHACA
|
| In favour of: |
(Beneficiary)
Name
Address
Account Number
|
|