First name: Last name: Street: Zip code: City Phone: Fax: E-mail: Remarks: For example: "your bank connection" printout and send it by fax, or mark these data and send it by E-mail.
Bank:
Banco Nacional, Costa Rica
Cedula:
Cuenta:
200-01-001-063522-5 Colones oder (or)
200-02-001-009558-7 US$
Zusatzangaben für überweisungen in das Ausland: Additional data for remittances abroad:
ABA:
SWIFT-BIC:
BNCRCRSJ
Empfänger: Recipients:
GRUPO ICCA PHK SOCIEDAD ANONIMA Peter Heinrich Knobloch