Cynnig Cyfranddaliadau yn agor HENO am 7yh……………………………………..Share Offer opening TONIGHT at 7pm………………………………………..Cynnig Cyfranddaliadau yn agor HENO am 7yh……………………………………..Share Offer opening TONIGHT at 7pm………………………………………..

Section 1: The Investor

I am applying in my own name (complete section 1, 4, 5 and 6)
I am purchasing a gift for someone (complete sections 1, 2, 4, 5 and 6)
I am applying on behalf of a group (complete sections 1, 3, 4, 5 and 6 using the name of the organisation/group)

Investor Name *

Investor Address *

Investor Email *

Investor Phone Number *

* All fields in this section must be completed

Section 2: I am Purchasing a Gift

Only complete this section if purchasing shares as a gift for somebody other than yourself.

Recipient Name

Recipient Address

Recipient Email

Recipient Phone Number

Recipient Date of Birth (if under 16yo)

You will receive a gift certificate by email confirming the shareholding and your gift.

If you have any questions about gifting shares please contact the Treasurer, Tanya Neilson, by emailing shares@cynnalbromachno.cymru

Section 3: Applicant and Nominee for Group Investors

Only complete this section if purchasing shares on behalf of a group/organisation.

Applicant Name

Applicant Address

Applicant Email

Applicant Phone Number

Section 4: How much do you wish to Invest?

Shares cost £1 each.

The minimum investment is 50 shares (£50).

The maximum investment is 20,000 shares (£20,000).

Should you wish to purchase more than 20,000 shares, please contact The Treasurer.

Number of shares you wish to purchase

Value of Shares (£1 per share)

Section 5: How will you be paying?

Section 6: Confirmation and Consent

I confirm that: (required for us to accept your investment) - please tick the relevant boxes

Signed *

Name *

Date *

If you would like more information or help in completing this form, please email shares@cynnalbromachno.cymru, or write to us at the address below.

The Application Form can also be downloaded BELOW, completed electronically, or scanned and returned via email to shares@cynnalbromachno.cymru

Alternatively, you can complete a hard copy and return by post to:

Tanya Neilson, Treasurer, Cynnal Bro Machno, Bryn Awel, Cwm Penmachno, LL24 0RL

Thank you for your investment and support. Cynnal Bro Machno will contact you within the next five days to finalise details.

There was an error trying to send your message. Please try again later.

Mae gwefan Cynnal Bro Machno i lawr dros dro o flaen LANSIO EIN CYNNIG CYFRANDDALIAU HENO AM 7PM.

Gwiriwch yn ôl yn nes ymlaen. Diolch

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Please check back later. Thank You

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