Cymraeg

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Cymraeg

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Contact

© Egni Co-op

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Invest Now

Before completing this form, please:

Read the accompanying Egni Share Offer Document 2020
Read the Rules of Egni Co-op

I wish to invest in Egni Ltd. the total amount shown below:

Amount*

Title (Mr/Mrs/Ms/Other) First name*

Middle name(s) Last name*

Greeting name (if different to first name) Organisation name

Organisation registration number Address line 1*

Address line 2 Town/City*

County* Postcode*

Email* Confirm email*

Contact Number*

Payment Options *

Pay by Direct Bank TransferPay by Cheque

Account name Sort code

Account number

Where did you hear about this share?

Payment Instructions

Direct Bank Transfer

Account name:

Egni Co-op

Sort code:

123456

Account number:

12345678

Please use your name as the reference for the transfer.

By post

Please complete the form above and send a cheque or banker's draft payable to:

76-78 Heol Gwilym,
Cwmllynfell,
Swansea,
SA9 2GN

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Egni Co-Op

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