MARK COMMUNITY LAND TRUST LIMITED
Membership Application Form
I ______________________________________________________(full name)
wish to apply to become a member.
I understand that:
I have filled in the information box on the reverse and submit this application
for ………….... shares with my payment of £………………..., being £1.00 per share
(cheques payable to ‘Mark Community Land Trust Limited’).
Signed ________________________________________ Date ______________
Membership of
Mark Community Land Trust Limited
Surname |
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First Name(s) |
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Title |
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Postal address |
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Post Code
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E-mail address Email is our preferred method of transmitting communications |
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Home Telephone Number Mobile Number (if preferred) |
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Please ensure that the CLT’s secretary
is informed of any changes to your personal details