Limpley Stoke Community Benefit Society Limited
Share Application Form
All the personal information that you provide on this form will be stored and processed in accordance with Limpley Stoke Community Benefit Society Limited’s Privacy Policy. Apart from required reporting to the regulatory authorities it will never be made available to third parties.
Your full name (including title) (Required)
Full postal address. Must be firm’s registered address for corporate members. (Required)
Post Code (Required)
Email address (Required)
Name and registration number of corporate body/firm you represent (if applicable)
APPLICATION
I am applying for (please enter the number of shares in the box below) £1 shares in Limpley Stoke Community Benefit Society Limited. The minimum share purchase is 200 shares, unless you qualify by age for a lower number as specified below, and the maximum is 50,000 shares)
Or
I am aged between 16 and 36 (ie born on or after 19th October 1987). Please enter the number of shares at £1 each (minimum 20) in the box below.
I am paying for my shares by … (if paying by Bank Transfer please ensure you put your FULL NAME as the REFERENCE - NOT Hop Pole Shares or similar as we may not be able to identify who the payment has come from)
Postal Address for cheques and applications which have not been submitted on-line …
Limpley Stoke CBS Ltd
Share Offer
37 Lower Stoke
Limpley Stoke
Wiltshire
BA2 7FR
DECLARATION
In submitting this form I confirm that :
Limpley Stoke Community Benefit Society Limited. A Registered Society under Co-operative and Community Benefit Societies Act 2014.
Registration number: 8721
Registered Office 37 Lower Stoke, Limpley Stoke, Wiltshire, BA2 7FR
This form is available for submission online at www.limpleystokecbs.org.uk
