Annex 4

An EU-wide monthly business survey in the financial services sector
ECFIN/2006/A3-01
Compulsory reply form for 
the administrative proposal

Name and/or business name of the tenderer:…………………………………………………..

Clear description of the tenderer’s legal form: ………………………………………………..

Address of the tenderer’s registered office: ……………..……………………………………..

Telephone number: ……………………………………………………………………………..
Fax numbers: ……………………………………………………………………….…………..
E-mail address: ……………………………………………………………..…………………..
Internet address (if available): ………………………………...………………………………..

Names of the legal representatives (directors, etc) of the tenderer, authorised to sign contracts with third parties on behalf of the organization: ………………………………………………..

VAT number: ……………………………………….…………………………………………..
Trade-register entry number: ……………………………….…………………………………..

If any, please identify the subcontractors and the amount of services of the contract (%) which shall be executed by the subcontractors:
……………………………….…………………………………..
……………………………….…………………………………..
……………………………….…………………………………..
……………………………….…………………………………..