BANK STANDING ORDER MANDATE

Send to us at:

Beef Magazine Ltd, 29 Fairways Business Park, Lammas Road, London E10 7QB

Please include my gym/store in The Beef gym list every issue and send 4 copies of each issue. Send this Form to my Bank as indicated.

Account details below.

BENEFICIARIES:

Beef Magazine Ltd a/c ............................................. ......................... Sort Code ....................

INSTRUCTIONS TO BANK:

Please debit my account by £10 on the first of each month.

Bank ..........................................................................................................

Branch Address/Postcode..........................................................................................................

...................................................................................................................................................

Account Name ..........................................................................................................

Account Number ___ ___ ___ ___ ___ ___ ___ ___

Sort Code ___ / ___ / ___

Signed ..........................................................................................................

Name (Capital Letters)..........................................................................................................

Position (Owner, Director)...........................................................................

Business Name and Address..........................................................................................................

.......................................................................................................................................................

.......................................................................................................................................................

.......................................................................................................................................................

AMOUNT: £10 on 1st day of each month. Commencing ........ 2011 Until further notice

------------------------------------ FOR OFFICE USE ONLY --------------------------------------

Please quote Reference Number “X-______ ” with any payments made

Beneficiary reference Number.......................Date of Application.................................