• Application to invest in MaidEnergy Ltd

  • 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

  • Individual Application Details

  • Organisation Application Details

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancel of
  • Special Conditions

  • Gift Purchase

    If you wish to purchase shares as a gift for someone else, please give their details below. Anyone 16 or over will also need to agree to join MaidEnergy.
  •  -  -
    Pick a Date
  • Account for Interest and Repayments

    We will make payments by bank transfer, so please provide your bank details for this.
  • Contact Preferences

  • Declaration

    IMPORTANT: Please tick the boxes to indicate that you agree with the statements below. For joint applications all applicants must consent and sign.
  • Clear
  •  -  -
    Pick a Date
  • Investment Amount

  • Bank Transfer

    Please make a bank transfer using your Surname + last part of your postcode as a reference to the following Account: Account Number: 20788088 Sort code: 16-58-10 Account Name: MaidEnergy Ltd
  • Payment by Cheque

    Please send your cheque, along with a copy of your confirmation of application email that you will receive after submitting your application to MaidEnergy Ltd, Prince Albert House, 20 King St, Maidenhead, SL6 1DT. Please write your surname + last part of your postcode on the reverse of the cheque as a reference.
  • Should be Empty: