Thank you for your interest in registering for the Glanbia Agri-Link website. Please print out, complete and sign the following application form and return to the address below.

______Name of Glanbia Account Holder

Postal Address ______

______

______

Phone (Home) ______

Phone (Mobile) ______

Email address ______I wish to apply to Glanbia Agribusiness for on-line access to the following accounts that I hold with Glanbia:

Milk Supplier number ______

Trading Account number ______

Grain Account Number ______

Please tick the following box if you would like more information about the Agri-Link Statement Download Service

Name of Farm Software Package ______

Please note the following terms, which apply to your application for registration as a subscriber to the Glanbia Agri-Link service:

 Acceptance of completed application forms is at the discretion of Glanbia;  You must be 18 years or over to subscribe to the Agri-Link service;  Upon Glanbia’s acceptance of your completed application form, you will be allocated a P.I.N. number, which allows you access the Agri- Link service.  The P.I.N. number will be provided by e-mail to you.  The P.I.N. number should be kept safe and confidential at all times and Glanbia is not responsible for any misuse of the P.I.N. number;  Upon logging on to the Agri-Link service for the first time you will be required to read through and accept the terms of the Agri-Link Service Agreement, which governs all subscriber use of the Agri-link service. We recommend that you periodically review this agreement, which may be updated from time to time;  Glanbia reserves the right to introduce charges, determined by Glanbia, for use of the Agri-Link service. Existing subscribers will be giving the opportunity to accept such charges or terminate their subscription to the Agri-Link service;  Please note that you will require a Computer with an Internet connection (Microsoft Internet Explorer 4 or later) to access Agri-Link.

Signature ______Date / /

Please return this completed application form to:

Aisling Corrigan, Agri-Link Manager, Glanbia Agribusiness, Ballyragget, Co. Kilkenny. Phone: Fax: Email: [email protected] 056-8836489 056-7750975