Yarpole Shop Share application form.

Yarpole Shop Share application form.

(Yarpole Community Shop Association Ltd). Registration No: 29911R. Registered with the Financial Conduct Authority.
£10 Each

Shareholders of our community co-operative are entitled to elect the board of managers, vote at the AGM and apply for a customer account at the shop.
Shares are non-redeemable, nor do they confer any right to a dividend. Any surplus generated by the shop is either retained for the continuation and development of the Association or is distributed to the community through an awards scheme on which members vote at the AGM.

(Individuals, 18 or over, one share per person)
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Postcode
Phone Number*

Area CodePhone Number
Email*
example@example.com
Please indicate below how you are paying for your shares.

BACS payment to Yarpole Community ShopCheque made payable to Yarpole Community Shop LtdPaid directly at the Shop
Payment by BACS, cash or cheque made payable to Yarpole Community Shop Ltd.

Our BACS details are as follows -

Account Name: Yarpole Community Shop

Sort Code: 60-83-01

Account Number: 20387813
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