BANKERS ORDER

To.............................................................................................................. Bank plc

Bank Address..........................................................................................................

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

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

 Post Code..........................................................

Please pay to National Westminster Bank plc, P.O. Box 8, 33 Eastgate Street, Chester, CH 1 LXA

for the Credit of HCCPT Account No.  79869246 the sum of £.......................................

 (Words).............................................................................................

Commencing date.................................................................. 200... 

 And thereafter annually on the same date until further notice.

 Name of Account Holder

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

Account No.........................................................................

Signature............................................................................

 Date....................................................................................