*COPY AND PASTE ONTO COMPANY LETTERHEAD AND INCLUDE SIGNATURE(S) AT THE BOTTOM*

PLEASE ATTACH TO YOUR REGISTRATION FORM IN ARIBA

AUTHORIZED INDIVIDUALS

The company: Click or tap here to enter text. is a:

ONE SOLE PROPRIETORSHIP business. With the following Authorized Individuals:
MICRO (2-9 EMPLOYEES) business. ONE
SMALL (10-49 EMPLOYEES) business. TWO
MEDIUM (50-249 EMPLOYEES) business. THREE OR MORE
LARGE (250 PLUS EMPLOYEES) business.

Providing Instructions. Group 1 – Person(s) Who Can Provide New Payment Instructions
Name, Title, Telephone Number and Email Address for person(s) designated to provide direction, including but
not limited to funds transfer instructions, and to otherwise act on behalf of [Company].

NAME TITLE TELEPHONE NUMBER E-MAIL ADDRESS

Confirming Instructions. Group 2 – Person(s) Who Can Confirm Payment Instructions

Name, Title, Telephone Number and E-mail Address for person(s) designated to confirm funds transfer
instructions.

NAME TITLE TELEPHONE NUMBER E-MAIL ADDRESS

Sincerely,

Authorized Representative of Beneficiary Name (Print)

Authorized Representative of Beneficiary Signature Date

Date

Title Email: