I wish to become an individual member of The Amulet Centre Limited, in accordance with the Rules of the Society.
First Name:	*
Last Name:	*
Home Address:
Postcode:	*
Email Address:	*
Telephone:	*
Shares and Payment
I apply to purchase the following share value (minimum £250, in multiples of £50, maximum £50,000)
Share Value:	*
Inheritance Nomination (optional)
In the event of my death, I wish up to £5,000 of my shares to be transferred to the following person: (sums over £5,000 will be subject to the probate process)
First Name:
Last Name:
Home Address:
Postcode:
Email Address:
Telephone:
My Agreement
I have read the Share Offer Document, including the section on financial risks *
I understand that the first £1 share is not withdrawable and that additional shares are only withdrawable as determined by the board of directors *
I am over the age of 16 and agree to be bound by the terms and conditions included in the share offer document and the Rules of The Amulet Centre Limited *
I am happy for my data to be held securely in line with GDPR regulations and the terms of the share offer. *
I am happy to receive emails relating to the operation of The Amulet Centre Limited
I am happy to receive emails relating to events and activity organised by the Amulet