THE TRAVELLERS REST SKEEBY

Application to become a member of, and an investor in, the Skeeby Community Pub Society Ltd (SCPS Ltd)

Section 4 – BUSINESS, ORGANISATION, OR OTHER INCOR- PORATED OR UNINCORPORATED BODY

I wish to become an individual member of SCPS Ltd. In accordance with the Rules of the Society I apply for Shares to the value of £ (minimum £250, maximum £20,000)

Organisation: Incoporated / unincorporated (delete as appliable)

First name: Last Name:

Address:

Post code:

Email: Phone no:

I understand that, as a representative of an incorporated organisation or a nominee of an unincorporated organi- sation (whichever is appropriate), SCPS will require confirmation in writing of my appointment in due course. I confirm that I am 18 years old or older. I have read the share offer document and understand and accept the terms of the share offer and the Rules of SCPS Ltd. I consent to SCPS Ltd sending me, at the email address given above, formal notices or documents (or links to the Society’s website) and information relating to the purchase and renovation of the Travellers Rest Pub.

Payment (choose one)

I enclose a cheque made payable to ‘SCPS Limited’

I have paid via electronic bank transfer

Signed: Date:

Data Protection: The data provided by you will be stored on a hard copy and an electronic database. The data will be used for Skeeby Community Pub Society Limited purposes and will not be disclosed to any third party.

BACS Payment Details: Account Name: SCPS LTD | Account Number: 67200076 | Sort Code: 08-92-99

Web: www.thetravellersrestskeeby.co.uk • Email: [email protected] Address: C/o Adrian Bramley, The Old Post Office, Skeeby, Richmond, North DL10 5DS

Skeeby Community Pub Society Ltd is registered with the Financial Conduct Authority (FCA). reg No: 31027R