Online Share Application Form

How many people are applying for shares?

1

2

Ordinary shares in Gawsworth Hub are currently available at £10 each. Please select below the value you wish to subscribe for.

Share Value Desired*

Applicant Name*

Title

First

Last

Applicant's Postal Address*

Street Address *Street Address Line 2 City *County *Postal Code

Applicant's Email Address*

Second Applicant's Name*

Title

First

Last

Is the second applicant's address the same as the above?

Yes

No

Second Applicant's Postal Address*

Street Address *Street Address Line 2 City *County *Postal Code

Second Applicant's Email Address

Not required. If not provided, all email correspondence will be sent to the first applicant only.

Are you an existing shareholder of Gawsworth Hub?*

Yes

No

Membership Number*

One vote per member. Joint applicants will only receive one vote between them.

Data protection. Legislation requires that we maintain a register of shareholders, including names and contact details. We are compliant with data protection legislation. Email addresses will only be used to communicate with you on Hub business and will not be supplied to any third parties without your consent unless we are legally required to do so. Your submission of this form indicates your consent to us retaining this information. A copy of our data protection policy is available on request.

Payment. On receipt and processing of this form, the Company Secretary will respond to the given email address(es) with instructions for payment.

In case of any queries relating to this form or your intended purchase of shares, please contact the Company Secretary at secretary@gawsworthhub.co.uk

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