To millenniumbcp.ptDBD-DIREÇÃO DE BANCA DIRETA DBD-SO-OPERAÇÕES CANAIS REMOTOSAv. Dr. Mário Soares (Tagus Park), Edifício 9/12744-005 Porto SalvoPORTUGAL Dear Sirs, I, _________________________________________________________________________, Here by request you to send to the address of my account with the BIN indicated below, the Multichannel Access Code. BIN: Date______/______/______ ________________________________________________ Signature (signature as per account signature card)