With the deepening of legal concepts, contracts appear more and more times, and contracts are a very important factor in the development of enterprises. There are many points for attention in drafting the contract. Are you sure you can write it? The following are five production contracts that I have carefully arranged. Welcome to reading. I hope you will like them.

Production Contract 1 Party A: Party B:

Address: Address:

Tel: Tel:

Fax: Fax:

Through friendly negotiation, Party A and Party B reach the following agreement on Party A entrusting Party B to make Party A:

1. Project overview: 20xx copies of investment promotion brochure opened in Da 16.

Second, the project details:

Project name:

⑴ inch: 16 Kt.

(2) Design and production: 200 yuan/person.

(3) Paper: investment guide: cover 300g, inner page 128g. The cover of the project book is 250g and the inside page is 128.

Dick.

⑷ Pages: investment guide 44p, project book 45P.

5. Color number: four-color printing.

(6) Post-processing: the front cover and the back cover are bonded, the project book is bound with an envelope, and the investment guide is bound with riding nails. (7) Quantity: 1500 copies.

Unit price: two million eight hundred and eighty-eight yuan only, and total price: fifty-six thousand yuan only.

Three. Payment terms:

60% of the total price shall be paid from the date of production, 30% after the sample is confirmed, and the remaining 20% shall be paid on the delivery date.

Fourth, the mode of delivery.

Printing processing: delivery within 6 working days after confirming the sample.

Place of delivery:

Address of Party A's company: The freight shall be borne by Party B, and the product risk shall be transferred from the date of delivery.

Five, printing quality standards

1. Party B's preliminary production shall be completed on time and with good quality according to the requirements of providing samples, and the quality of the investment promotion brochure shall be subject to the signed samples; Party A is responsible for checking and confirming relevant contents in time, and for acceptance.

2. Party A has the right to ask Party B to provide no more than four samples for the manuscript designed and produced by Party A. When Party B provides the fourth confirmed manuscript, Party A shall complete all the confirmation and revision work. If the manuscript still needs to be revised after the fourth confirmation due to Party A's reasons, Party A agrees to pay an additional fee of no more than RMB 65,438+000 per page depending on the revised content.

3. If the film provided to Party A is inconsistent with the sample, Party B does not guarantee that the printing color is absolutely consistent with the sample provided, but the normal printing effect of the film shall prevail.

4. The chromatic aberration range of the color brochure should not exceed 65438 00% of the sample, and the allowable overprinter error should be less than 0.2 mm. 。

Other items that need to be inspected shall be accepted according to the national standards and quality standards of the press and publication industry related to lithographic general printed matter.

5. If Party A has any objection to the quality of the investment promotion manual, it must be raised within the time of acceptance and delivery. In any case, Party B shall not be jointly and severally liable for distribution and advertising except for making the investment promotion manual.

Intellectual property and confidentiality of intransitive verbs

1. Party B shall keep Party A's production and distribution methods and plans strictly confidential.

2. The graphic design provided by Party B for making Party A's investment promotion brochure shall be owned by Party A after being purchased by Party A. ..

Eight, other terms of the contract

The delivery quantity is allowed to be short shipment plus or minus 5%. In case of overload, Party A has the right to choose whether to receive the overloaded goods at the contract unit price. If Party A does not accept it, Party B shall not give it to others or sell it at any price without authorization, except as a reference sample for other customers' brochures.

If the insufficient part is less than 5%, Party B shall deduct the corresponding amount from the total contract price according to the contract unit price, but shall not make up the amount separately. If the difference exceeds 5%, Party A has the right to ask Party B to make up the difference.

If one party fails to perform the contract due to force majeure factors such as policy changes and government administrative actions, the contract will be terminated and both parties will not be liable for breach of contract.

Nine. responsibility for breach of contract

1. Party A and Party B shall strictly abide by the relevant provisions of this contract. Matters not covered in this contract shall be settled through friendly negotiation.

2. If either party breaches this contract and negotiation fails, the dispute shall be settled by the people's court where the defendant is located.

3. If the contract cannot be performed due to force majeure, both parties shall postpone the performance through friendly negotiation. If negotiation fails or it is really impossible to continue, both parties shall not be liable for breach of contract.

X this contract is made in duplicate, with each party holding one copy, all of which are equally authentic.

Party A: Party B:

Authorized representative: authorized representative:

Date: Date:

Year, month, sun, moon, sun.

Concluding the Contract Part II Party A:

Party B: Huayu Advertising Media Co., Ltd.

In accordance with the relevant provisions of the Economic Contract Law of the People's Republic of China, this contract is signed by both parties through full consultation, and the terms of the contract are strictly fulfilled. Any party who violates the provisions of this contract shall bear economic responsibilities in accordance with the Economic Contract Law of the People's Republic of China and relevant laws and regulations.

I. Project Name

Billboard at the door

Second, the project content

Luminous characters of aluminum profile of aluminum-plastic plate (surface+bottom+column) are pasted on the door head.

Big 0.75mX4 small 0.3mX 1 1 icon 0.35Mx4 PVC word 6cmX 18.

Three. Total project amount

* * * RMB (in words) Nine Thousand Wu Bai Forty Yuan.

(number) 9540

Four. Payment method:

1. down payment: after the signing of this contract, Party A shall pay the down payment, namely RMB ￥ (in words).

2. Second payment: After the project installation is completed, Party A shall pay the balance in one lump sum, that is, RMB _ _ Yuan only (in words: _ _ Yuan only).

5. Construction period: completed within days from the date of signing the contract.

Acceptance of intransitive verbs: After the production and installation are completed, Party B will notify Party A for acceptance, and Party A will confirm it within three working days.

If there is any quality problem, Party A has the right to ask Party B to make and install it again until Party A is qualified.

Seven. Responsibilities and obligations:

1. Party B shall complete relevant production work according to Party A's requirements.

2. During the construction period, Party B's personnel shall pay attention to fire prevention, theft prevention and construction safety, and Party B shall bear the responsibilities.

3. During the performance of the contract, if Party B delays the construction period due to Party A's failure to provide relevant information in time and coordinate with relevant departments on the construction site, Party B will not bear the responsibility, and other expenses arising therefrom will be borne by Party A. ..

4. During the performance of the contract, if Party B encounters irresistible factors such as the weather or the change of Party A's plan, it will be delayed.

The construction period shall be settled by both parties through consultation.

5. If Party A adds projects or changes the project plan, the expenses incurred shall be calculated separately by both parties through consultation. ..

8. Warranty period: free warranty within one year from the date when the door head and luminous characters are manufactured, installed and accepted.

During the warranty period, Party B shall provide maintenance services within 48 hours after receiving the maintenance notice from Party A. In addition, Party B shall not be responsible for the losses caused by man-made and irresistible factors.

Nine, if Party A's early payment is not in place in time, resulting in delays in the construction period, Party B is not responsible for the late payment.

Party B may charge interest according to the current bank interest rate at the time of contract payment.

X. liability for breach of contract:

Due to the particularity of production work, Party B has been fully performing the contract at the beginning of production. Therefore, if Party A terminates the contract in advance, Party B will not refund the advance payment.

Other matters:

XI。 In case of any dispute arising from the performance of this contract, Party A and Party B shall settle it through friendly negotiation. If no agreement can be reached, it shall be submitted to legal channels for settlement.

12. This contract is made in triplicate, one for each party, signed and sealed by the other party, and one for the industrial and commercial bureau.

Party A (seal): Party B (seal):

Representative signature: Representative signature:

Union formula: Union formula:

Date: Year Month Day Date: Year Month Day

Name of the client company that entered into Contract III (hereinafter referred to as Party A):

Name of production unit (hereinafter referred to as Party B):

In accordance with the Contract Law of People's Republic of China (PRC) and relevant laws and regulations, Party A and Party B have entered into this Contract through friendly negotiation on the principles of equality, voluntariness and mutual benefit for mutual compliance.

1. Party A entrusts Party B to complete the production of the spiritual fortress in XXXXX Bay before June 20xx February, 65438.

Second, the location of the spiritual fortress is in XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

Three. Payment terms:

1. Within working days from the date of signing this contract, Party A shall pay% of the total contract price to Party B, namely (in figures).

2. Party B shall design according to the design signed and confirmed by Party A, and Party A shall conduct acceptance inspection within working days after Party B completes it. After the acceptance, Party A shall pay% of the total contract price to Party B within working days, that is, (in figures) yuan (in words).

3. The quality guarantee of Spiritual Fortress is% of the total contract amount, that is, RMB (in figures) or (in words), and the quality guarantee period will be paid one year after acceptance.

Four. Materials and specifications of the spiritual fortress: see the attachment.

Verb (abbreviation of verb) quality standard: it conforms to the quality standard agreed in this contract.

The related rights and responsibilities of the intransitive verb Party A and Party B.

(I) Party A's responsibilities

1. Before the commencement of construction, Party A shall provide Party B with the site for construction electricity, stacking raw materials and construction site.

2. Party A shall pay the project payment in time according to this contract. If the project payment cannot be put in place in time, the construction period will be postponed accordingly.

3. Party A will not ask for modification before the sample is signed and confirmed. If Party B has entered the production stage, Party A will bear all the losses caused thereby.

4. The maintenance cost of the spiritual fortress after the warranty period shall be calculated separately.

(II) Party B's responsibilities

1. Party B shall be responsible for all the approval and production of Spiritual Fortress. If it is not completed within the time stipulated in the contract, Party B shall compensate Party A for the loss according to 1% of the total project cost for each day overdue; If the approval is unsuccessful or the production is not approved at the designated place, Party B shall compensate Party A for the losses at 50% of the total project cost.

2. Party A shall fully cooperate with Party B to go through the examination and approval procedures for setting up the spiritual fortress, and Party B shall ensure that the spiritual fortress is approved within one year. All problems of Spirit Fortress in relevant government departments within one year shall be coordinated by Party B, and all expenses incurred shall be borne by Party B. ..

3. During the construction period, Party B shall do a good job in construction safety, and Party B shall bear all responsibilities for personnel safety problems caused by improper construction.

4. Problems in construction shall be solved by both parties through consultation. In case of irresistible natural disasters (such as storms and snowstorms). ) or power failure, the construction period will be postponed.

Seven, spiritual fortress acceptance and warranty period

1. If Party B's project has been completed, it shall notify Party A to carry out the acceptance of the spiritual fortress. Party A shall conduct acceptance within 3 working days after receiving the acceptance notice, and if it fails to do so, it shall be deemed as qualified. Party A and Party B sign and seal the Spiritual Fortress Acceptance Form, which is an annex to the Contract and has the same legal effect as the Contract.

2. The warranty period of the spiritual fortress is one year, counting from the date of acceptance. In case of quality problems during the warranty period, Party B shall repair them within 2 days from the date of receiving Party A's notice. If the spiritual fortress is damaged by natural disasters (such as storms, snowstorms, etc.) and other force majeure. ) or social abnormal events, Party B shall not bear any responsibility.

Eight. Dispute resolution method

1. Matters not covered in this contract shall be settled by both parties through negotiation, and a supplementary agreement shall be signed as an annex to this contract.

2. Matters not covered in this Agreement shall be settled by both parties through negotiation and a supplementary contract shall be signed. Disputes arising from the performance of this contract shall be settled by both parties through consultation. If negotiation fails, either party has the right to bring a lawsuit to the court of Party A's domicile.

Nine. any other business

1. This contract and related annexes shall come into effect after being signed by the legal representatives or authorized representatives of both parties and stamped with the official seal of the unit or the special seal for the contract.

2. This contract is made in quadruplicate, three for Party A and one for Party B, all of which have the same legal effect.

Party A (seal): _ _ _ _ _ Party B (seal): _ _ _ _ _

Legal representative (signature): _ _ _ _ _ Legal representative (signature): _ _ _ _ _

Authorized representative (signature): _ _ _ _ Authorized representative (signature): _ _ _ _ _

Date: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

Article 4 Party A: (hereinafter referred to as Party A)

Party B: (hereinafter referred to as Party B)

According to the relevant provisions of the Economic Contract Law of the People's Republic of China, this contract is signed by both parties through full consultation.

I. Contents of the contract:

1._ _ _ _ _ _ _ _ _ _ _ Quality requirements:

2. _ _ _ _ _ _ _ _ _ _ _ _ _ Quality requirements:

3. _ _ _ _ _ _ _ _ _ _ _ _ _ Quality requirements:

Second, the contract amount:

* * * RMB (in words) _ _ _ _ _ _ _ _ _ (in figures)

Three. Payment terms:

1. After the signing of this contract, Party A shall pay 50% of the total contract price, namely RMB _ _ _ _ _ _ _ _ _ (in words: _ _ _ _ _ _ _ _ _ _ _ _ _ _).

2. After the project is completed, Party A shall pay the balance of the contract to Party B, namely RMB _ _ _ _ _ _ _ _ (in words: _ _ _ _ _ _ _ _ _ _ _).

Four. Responsibilities and obligations:

1. Party B shall complete relevant design and production work according to Party A's requirements.

2. Party B shall complete it within the specified time (before _ _ _ _ _ _ _ _) and submit it to Party A for signature.

3. Party A shall provide relevant materials according to Party B's needs, and bear legal responsibilities and economic disputes caused by copyright and literary responsibility.

Verb (abbreviation for verb) property right agreement:

Party A shall not enjoy the copyright until all the expenses of the commissioned design are settled; otherwise, the copyright of the works designed by Party B shall belong to Party B, and Party A shall not enjoy any rights to the works; If Party A uses or modifies the works designed by Party B without paying the balance, Party B has the right to pursue its legal responsibility according to the Copyright Law of People's Republic of China (PRC).

Liability for breach of contract of intransitive verbs:

Due to the great particularity of the design and production work, it needs the designer's careful creation after a lot of research work, and Party B has fully fulfilled the contract at the beginning of the design. Therefore, if Party A terminates the contract in advance, Party B will not refund the advance payment.

Seven. Other matters:

Eight. In case of any dispute arising from the performance of this contract, Party A and Party B shall settle it through friendly negotiation. If no agreement can be reached, it shall be submitted to legal channels for settlement.

This contract is made in duplicate, one for each party, signed and sealed by the other party, with the same legal effect.

Party A (seal) and Party B (seal)

Representative signature: Representative signature:

Address: Address:

Tel: Tel:

Fax: Fax:

Date: Date:

Party A (entrusting party): _ _ _ _ _ _ _ _ _ ContractNo.: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Legal Representative: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Party B (trustee): _ _ _ _ _ _ _ _ _ _ Date of signing: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

ID number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Party A and Party B have reached the following agreement through friendly negotiation on the premise of abiding by various laws and on the principle of mutual benefit:

Article 1 Cooperation matters

1, cooperation project: _ _ TV column "_ _"

2. Cooperation mode: Party B is responsible for the production of the TV program "_ _", and Party A is responsible for the broadcast of this program in _ _ _.

3. Term of cooperation: from year to year.

The premiere time of "_ _" is _ _ _ _ _ _: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

Article 2 Rights of Party A

1. Party A and Party B * * * own the program copyright.

2. Party A has the right to ask Party B to show the relevant certificates of advertisers, and Party A has the right to ask Party B to modify the inappropriate content in the advertisement according to the advertising laws and regulations or the requirements of the producer of this website policy.

Article 3 Obligations of Party A

1. From the date of signing this agreement, Party A exclusively entrusts Party B with the right to make this column, the right to operate the patch advertisement and the right to name the column, and at the same time provides corresponding valid certificates and relevant materials.

2. Party A shall ensure that the scheduled broadcast time of this column is _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ If there is a wrong broadcast due to Party A's responsibility or irresistible factors, Party A will postpone the supplementary broadcast at the same time. If the broadcast error is caused by Party A's work error, Party B shall be compensated for the actual loss besides the supplementary broadcast at the same time.

3. Party A does not provide Party B with funds for program production. Party B gets the advertising time and column naming right of _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

4. Party A has the right to request the modification or re-production of the program produced by Party B under the premise of major principled errors, and specify the delivery time.

5. Party A shall provide Party B with the broadcast receipt of _ _ _ _ channels within one month after the broadcast of the program, and guarantee to provide the results of the program ratings survey at least once every quarter.

Article 4 Rights of Party B

1. Within _ _ _ years from the date of signing this contract, Party B has the right to operate the patch advertisement and naming rights of this column for _ _ _ minutes, and bear the production expenses of this column.

2. Because Kung Fu is the quintessence of China, it is difficult to start the program in this period. In order to ensure that it is broadcast on _ _ _ _ _ _ _ _ _ _ _, Taiwan Province is requested to give some support. First of all, when there is no large amount of money coming in, we will not pay Taiwan Province the management fee for the time being to ensure the program will be broadcast as scheduled.

3. For advertising, Party B has the right to ask Party A to show the broadcast receipt and viewing report of this station.

4. Party B has the right to hold commercial promotion activities in the name of columns.

5. Upon the expiration of the contract, Party B has the priority to renew the contract for the production of this column, and sign the agreement according to the conditions of the unified contract for other column producers in Taiwan Province in the year of renewal.

6. Party A and Party B jointly own the copyright of this program.

Article 5 Obligations of Party B

1. Party B shall make the program according to Party A's program content, technical quality and time requirements.

2. Party B's advertising business activities shall comply with relevant laws and regulations.

Article 6 Others

In order to standardize the contract and ensure the legality of operation, Party A and Party B must show their legal person certificates and company business licenses.

Article 7 Liability for breach of contract

1. Violation of this contract or termination of the contract without reason shall be regarded as breach of contract, and the breaching party shall be liable for breach of contract according to the relevant provisions of the Contract Law.

2. Within the validity period of the contract, if there are no irresistible factors, neither party may terminate the contract, and the party that terminates the contract shall be deemed as a breach of contract.

3. Calculation method of liquidated damages: (omitted).

Article 8 Responsibility for confidentiality

Either party shall have the obligation to keep confidential the business secrets of the other party obtained by the commissioned program production, and shall not disclose them to other relevant third parties, except as otherwise provided by the existing laws and regulations of China or with the written consent of the other party.

Article 9 Termination of the Contract

1. If Party A or Party B needs to terminate this contract in advance, it shall formally notify the other party in writing and by telephone 30 days in advance, and this contract can only be terminated after both parties have settled all expenses and assumed corresponding responsibilities.

2. After the termination of the contract, both parties to the contract shall still bear the obligations and responsibilities stipulated in the original contract that should be performed by both parties but not yet completed.

Article 10 supplement and change

This contract can be amended or supplemented in writing according to the opinions of all parties, and the supplementary contract thus formed has the same legal effect as this contract.

Article 1 1 Force Majeure

Either party shall notify the other party of the force majeure event in writing within three days from the date of the event, and submit to the other party the certificate that caused the failure or delay of performance in whole or in part within thirty days from the date of the event.

Article 12 Law Application and Dispute Resolution Methods

1. This contract is governed by the relevant laws of People's Republic of China (PRC).

2. During the execution of this contract, if the contract cannot be performed due to force majeure, both parties shall negotiate in time according to relevant laws and regulations.

3. Any dispute arising from the interpretation or performance of relevant clauses of this contract shall be settled through friendly negotiation. Both parties agree that all disputes arising from this contract, if negotiation or mediation fails, shall be settled by the following method:

(1) Submit the dispute to _ _ _ Arbitration Commission for arbitration;

(2) bring a lawsuit to the people's court according to law.

Article 13 Conditions for entry into force

This contract shall come into effect as of the date when the legal representatives or authorized agents of all parties sign and affix their official seals.

Article 14 Others

This contract is made in triplicate, with the same legal effect. Each party holds one copy, and the rest is used to perform relevant legal procedures.

Party A (seal): _ _ _ _ _ _ _ _ _ Party B (signature): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

Authorized Agent: (signature) _ _ _ _ _ _ _ _ _ Authorized Agent: (signature) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Postal code: _ _ _ _ _ _ _ _ _ _ _ _ Postal code: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Phone number: _ _ _ _ _ _ _ _ _ Phone number: _ _ _ _ _ _ _ _ Phone number: _ _ _ _ _ _ _ _ _ _ Phone number

Fax: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Date: _ _ _ _ _ _ _ _ _ _ _ _ _ Date: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

E-mail: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Bank of deposit: _ _ _ _ _ _ _ _ _ _ _ _ _ Bank of deposit: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Account number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.