TRAVEL EXPENSE FORM
NAME OF NSA
STREET ADDRESS
POSTAL CODE
TOWN
COUNTRY
CONTACT PERSON
E-MAIL
PHONE
BANK INFORMATION
ACCOUNT NUMBER
BENEFICIARY'S NAME
FULL NAME OF BANK
FULL ADDRESS OF BANK
BANK CLEARING NUMBER
IBAN
BIC/SWIFT
ACCOUNT CURRENY (e.g)
VAT Number (Tax Number)
ABA (for CAN & USA)
ROUTING NUMBER (CAN & USA)
INN Number (for Russian account)
BIK CODE
VO CODE
RECEIVERS BAND ACC. NUMBER iN RUSSIAN CENTRAL BANK
I herewith confirm, that FIS and the OC's of FIS CrossCountry World Cup may file and use the above information
for the purpose of travel expense payment only. I also accept
that this information may be transferred to an organizer
________________________________________________________________
abroad.
Signature
Date