Name

Title

Company

Registration No.

Code

Postal Address

CityState

Zip code Phone#

Fax# E-Mail

Bid for Stock # I-491-Winch:
Payment Method:
If you choose to pay via credit card, please include the cardmember name, account number, and date of expiration here:
Mastercard
Visa
Cashier's check or wire transfer
Company check
Payment to be made by leasing or finance company.

Have you made these arrangements or do you want Ineco to help you make them?
I have made arrangements.

I need help with payment arrangements.