Join WACA Ltd as a Shareholder

MEMBER DETAILS

Title

Forename(s) *

Family name *

EmailAn email address is not required for membership, but if you have one, please let us use it to contact you.

Phone

Alternative Phone No.

Street Address *

Address line 2

Town / city *

County

Postcode *

DETAILS OF THE SHARE PURCHASE

Number of Community Shares you wish to purchase *

Consent *

I have read and understand the information about community shares in the Rule Book and the Share Offer Prospectus. In particular, I accept that the purchase of these shares is a long-term commitment, and future re-payment is dependent on the Society having sufficient reserve funds, and is at the discretion of the Board of Directors.

Select Payment Method *

Completion of Purchase

Your membership will take effect when the funds to cover your share purchase have been received as cleared funds.

DISPOSITION OF SHARES

BENEFICIARY

You may nominate a beneficiary to receive the value of your shareholding in the event of your death while you remain a member/shareholder of the Society. Please advise us of your wishes.

Who do you wish to nominate as beneficiary on your death? *

Name of beneficiary

Address of beneficiary

Relationship of beneficiary to you

Contact phone number for beneficiary

Registered Community Benefit Society No. 9476