Buy Shares If you are buying as a gift, please complete the details of the recipient here and add your details in the ‘notes’ box. Please state if the shares are to be sent directly to them or posted to you as the purchaser. Thank you! Title*Please selectMrMrsMsMissDrSirMadamFirst Name*Last Name*Email* AddressAddress Line 2Town / CityCounty / StateCountryUnited KingdomAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwePost / Zip Code*Full Phone NumberFordhall SharesNumber of £50 shareholdings purchased*12345Each shareholding is one group of 50x£1 shares. Price paid includes a £2.50 administration fee. Date of Birth if share recipient is under 16 Name of Guardian if share recipient is under 16If purchasing for a child under 16, how would you like to be referred to as the purchaser on the Share Certificate? Eg. Mummy, Grandma, Auntie etc. Please state full name .If purchasing for a child under 16, would you prefer a certificate with a cow, sheep or lamb?NotesHow did you hear about us*What is your motivation for buying a share?*Gift Aid I confirm that I am a UK taxpayer and I am happy for the Fordhall Community Land Initiative to claim Gift Aid (25 % of the donation) for the current tax year and donations I make in the future or have made in the past 4 years to the Fordhall Community Land Initiative. I understand the if I pay less income tax and / or capital gains tax than the amount of Gift Aid claimed on all my donations in that tax year, it is my responsibility to pay any difference I can confirm that I have read and understood the Fordhall Community Land Initiative Society Rules And provide a link to our rules which can be found here Society Rules* Confirm