EFTA Document EFTA01400445

Form W-8BEN (Rev. February 2006) Department of the Treasury Internal Revenue Service Do not use this form for: • A U.S. citizen or other U.S. person, including a resident alien individual • A person claiming that income is effectively connected with the conduct of a trade or business in the United States • A foreign partnership, a foreign simple trust, or a foreign grantor trust (see instructions for exceptions) • A foreign government, international organization, foreign central bank