STANDING ORDER AUTHORITY

To  .................................................................  Bank plc                  Sort Code       /      /     

Address ..................................................................................

Address ..................................................................................

Address ..................................................................................

Please pay to:-

FARMERS FOR ACTION at BARCLAYS BANK PLC, 10-14 High Street, Swindon, SN1 3ED

SORT CODE 20-84-61    A/C NO 50698563

The sum of £ _________  (min £30) immediately

and annually thereafter an amount of £ __________

quoting reference                                       (office use only)

Signed ...............................................................               Date ..............................................

Name of a/c .......................................................                A/C NO ..........................................

Farmers for Action, Old Llanishen Farm, Llangovan, Monmouth, Monmouthshire, NP25 4BU