SHARE APPLICATION FORM

 

DOUBLE-R-RACING
4, LONGFIELD CLOSE
SOUTHSEA
HANTS
PO4 8NE


C’MON POMPEY

 FREE SHARE APPLICATION FORM

PLEASE COMPLETE THE DETAILS BELOW PRINT
AND RETURN TO

Double-R-Racing, 4, Longfield Close, Southsea, Hants. PO4 8NE

Applicants Name……………………………………………………

Address………………………………………………………………

……………………………………………………………………….

……………………………………………………………………….

Tel No…………………e/mail………………………………………

THE NAME TO APPEAR ON THE SHARE CERTIFICATE IS: -

…………………………………..………………………………………………………

PLEASE TICK YOUR OPTION BELOW

I WISH TO LEASE A 1% SHARE IN C'MON POMPEY @ £300 a year

I ENCLOSE MY DEPOSIT PAYMENT OF £90 AND AGREE TO MAKE MONTHLY PAYMENTS OF £30 BY STANDING ORDER                              

 -------

I WISH TO LEASE A 2% SHARE IN C’MON POMPEY @ £600 a year

I ENCLOSE MY DEPOSIT PAYMENT OF £150 AND AGREE TO MAKE MONTHLY PAYMENTS OF £50 BY STANDING ORDER                             

                                                                  ----                                                                        

 I WISH TO LEASE A 5% SHARE IN C’MON POMPEY @ £1,500 a year

I ENCLOSE MY DEPOSIT PAYMENT OF £375 AND AGREE TO MAKE MONTHLY PAYMENTS OF £125 BY STANDING ORDER

                                                                 ------                                                                     

I WISH TO LEASE A 10% SHARE IN C’MON POMPEY @ £2,500 a year

I ENCLOSE MY DEPOSIT PAYMENT OF £720 AND AGREE TO MAKE MONTHLY PAYMENTS OF £240 BY STANDING ORDER

                                                                                                                                            Please make cheques payable to Double-R-Racing and send to:-

Double-R-Racing, 4, Longfield Close, Southsea, Hants, PO4 8NE

0r to pay by debit/credit card (2% surcharge on credit cards)

Please complete the following:

Card Number

./…./…./…./…./…./…./…./…./…./…./…./…./…./…./…./…./…./…./…./…./

Start Date./…./…./…./  Expiry Date./…./…./ Security Number./…./…./…./…./

Issue Number./…./

Alternatively, you can pay by card by calling:  07903155630

PLEASE PRINT THIS FORM AND SEND WITH YOUR PAYMENT TO Double-R-Racing, 4, Longfield Close, Southsea, Hants. PO4 8NE: