NAME AND ADDRESS OF INSTITUTE: Američki institut, Ilica 16, 10 000 Zagreb

BANK NAME OF RECIPIENT: Raiffeisen BANK – ZAGREB,

ACCOUNT NUMBER : 2484008-1105433667 OR

IBAN NUMBER: HR1224840081105433667

SWIFT: RZBHHR2X

YOUR NAME AND ADDRESS:

DESCRIPTION OF PAYMENT: MEMBERSHIP

MODEL OR NUMBER OF PAY: model (FIRST TWO NUMBERS) 00, OR NUMBER OF PAY IS YOUR OIB#