I will make a payment using e-banking of £ Total* for No. of shares* share(s) @ £12 per share.
The value entered is not a multiple of £12 ('Submit' button withheld).
Please pay for your shares by e-banking using the following details:
Bank:
Account Name:
Sort Code:
Account Number:
Reference:
NatWest
Holy Trinity Dobcross 200 Club
01-08-99
30310636
{uniqueBacs}
Please use this unique reference number to enable us to connect this form with your e-banking payment.
(Promoter: Mr Peter J Whiffin, 22 Nudger Green, Dobcross, Oldham, OL3 5AW)