Community Share Offer Application Are you an: IndividualOrganisation Contact details Email address* Full name* Phone number* Home address Address line 1* Address line 2 Town Postcode* Shares How much do you pledge to invest? Minimum £25, maximum £13,800 Organisation name* Contact person* Phone number* Business address Address line 1* Address line 2 Town Postcode* Shares How much do you pledge to invest? Minimum £250, maximum £13,800 Amount (£) Nomination upon death You can nominate a person over 18 to whom you wish your shares be transferred to upon your death, or the value of your shares can be donated back to the society. Would you like to: Donate to the societyNominate a person Their name Their phone number Their email address Their address Address line 1 Address line 2 Town Postcode I confirm that - I am 16 years old or older - I understand that the Management Committee may reject my application, and are not obliged to tell me why it’s been rejected - I have read the share offer document and accept the terms of the share offer and the aims of the society - I understand that the Management Committee may conduct such checks as necessary to comply with money laundering regulations - I understand that the Management Committee may request proof of residency - Upon successful application, I agree to pay the amount pledged in return for shares in the Wigtown Community Inn Community Benefit Society I confirm I have read and understood these conditions. Δ