Loans ISQR

Phone: +41 55 282 56 51  Fax +41 55 282 56 55   www.supernovae-energy.com

 Copy form and return it via e-mail to postmaster@rqm.ch or send by Post.
Hans Lehner, Chairman
ISQR Institute for 
Space Quantum Research (since 1993)
Aatalstr. 1
CH-8732 Neuhaus / SG
(Switzerland) 

I / we would like to support the activities of the Institute for

Space Quantum Research ISQR and will transfer


the following Sum:    as a interest-bearing loan.

 

 

Duration from:   until:    Interest rate:   % Per year

 

Enter the sum in the appropriate currency field:

      

CHF         EURO         U.S. $          

    

                      

Payment to: 

Account Name: RQF Institute, Aatalsstrasse 1,     CH-8732 Neuhaus   

                           

Account:     80-53691-1                                                   (Swiss Franc CHF)

                   IBAN CH7909000000800536911                     BIC - SWIFT: POFICHBE

 

Account:     91-667014-1                                                 (Euro €)
                   IBAN: CH3709000000916670141                   BIC - SWIFT: POFICHBE

Account:     91-859287-1                                                 (US Dollar USD)
                   IBAN: CH4809000000918592871                   BIC - SWIFT: POFICHBE

 

With:         Swiss PostFinance, Nordring 8, CH-3030 Bern  (Clearing Nr.: 9000)

                       

 

Mr./Mrs./Company:
Surname:
Name:      
Address: 
City:  Postal Code: 
Country:   Language:
Phone:  Mobile:   
Email:   Fax:

 

                        

Place Date:    _____________________          Signature:    _______________________
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