EUROCLEAR COMPANY_NAME

EUROCLEA R ADDRESS POSTAL CODE CITY COUNTRY

Delivery Instructions:

Purchase Order # Rev. Page 1 of 1

This Purchase Order is issued pursuant to our Agreement:

In the event no Agreement is listed, then this purchase order shall be subject to Euroclear terms and conditions of purchase for good and services. A copy is available on http:/w w w.euroclear.com/suppliers Important rule for invoicing: in order to guarantee a smooth and timely payment of your invoices, we ask you to strictly follow these steps: - send your invoice in PDF format only to fsc.ap.stp@euroclear.com- ensure the following information is on your invoice: PO number, requester name and contact details.Those rules don't apply if you have negotiated other contractual clauses with Euroclear (electronic invoicing, Self Billing,...).

VAT number: Euroclear VAT Number; Comm. Reg.: Euroclear Commercial Registration number; Bank account number: Euroclear Bank account number

Purchase Order # Rev.

Order Date: Vendor:

Buyer:

PO Inquiry Tel:

PO Inquiry E-mail:

Invoice Address: Ship to Address:

Attn:

VAT: Requestor:

Invoice / Payment Inquiry Tel: Invoice / Payment Inquiry E-mail:

Specific Instructions: SOW:

Line No. Description Item Number Due Date Quantity UOM Price Total

This Purchase Order (PO) (without Quantity nor Price) is sent to you for information purposes only and without any commitment from Euroclear. Potential invoices referencing this PO will only be accepted if and when you have formally agreed up-front with the 'Requester' on the specifics about

the delivery of the services mentioned in the 'Description' above, which are deemed to be delivered pursuant to the terms and conditions of this PO.This Purchase Order is deemed accepted if not contested by the Vendor w ithin 5 w orking day s by contacting the Buyer mentioned abov e. The Vendor should indicate the Purchase Order number on all its invoices and communication.

Payment Terms: Carrier:

All prices and amounts on this order are expressed in CURRENCY_CODE.

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EBELALText BoxEuroclear Legal detail to be mentioned on your invoice

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EBELALText BoxEuroclear PO number to be mentioned on your invoice

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