Please complete the form with as much detail as possible so that we can process your application to become a member of MaidEnergy and assign your shares to you to be able to issue you a share certificate.
Mandatory fields are marked with a * but as much detail as you can give us is appreciated. We do also require your name, address and email address as either an individual or organisation buying shares.
If you choose to provide your phone number but do not wish to be contacted with general updates we will only contact you by phone should we have a query about your application.
For full details of our privacy policy please visit: www.maidenergy.coop/privacy