Red Lion Share Interest Pledge Form

This is the content of the form for registering an interest in purchasing shares in a future Red Lion business –

A Vision for the Red Lion

Register an interest in buying shares in the

Red Lion, Sidbury as a Community Pub

As the pub has been listed as an Asset of Community Value, and the Campaign has registered as a potential purchaser, this gives it sole negotiating rights to seek to buy the pub. This remains until 10 March. The Campaign can withdraw from the process at any stage during this period.

In order to prepare to potentially purchase the pub the Campaign Steering Group has decided to do establish an Independent Provident Society as a company limited by guarantee. This would allow it to raise capital funds.

Providing that a proper business case is put to you, explaining how the Red Lion will be bought and operated and that you are satisfied with the level of risk involved; how much would you be prepared to invest buying shares in the company?

ð                    None

ð                   £100

ð                    £500

ð                    £1,000

ð                    £2,000

ð                    £5,000

ð                    £10,000

ð                    £20,000 (maximum per person)

ð                    Other (please specify amount) ...................................................

ð                   Donation (please specify amount) ..............................................

ð                   Loan (please specify amount) ....................................................

                                   

It is very important that we are able to contact you regarding future developments and in order to make a formal share offering. Please note that your details will be held on a computer database and will only be used in order to contact you regarding Campaign and potential purchase of the Red Lion (below). Your reply will be held in the strictest confidence and is an essential part of preparing for a community bid to buy the pub.

Please insert your contact details below –

Name: ..................................................................................................................

Address Line 1: ...................................................................................................
           
Address Line 2: ...................................................................................................

Address Line 3: ...................................................................................................

Post Code: ..........................................................................................................

Contact Phone: (h) ................................................ (m) .......................................

Email Address: ....................................................................................................

By indicating that I am interested in investing in the purchase of the Red Lion Sidbury I agree to my name, address, phone number, email address (where applicable) and the likely amount of my investment being held on a computer database. I understand that this information will be used for the purpose of maintaining a register of potential shareholders of the Red Lion pub, Sidbury, and for posting of notices regarding the activities of the Campaign and will not be passed to third parties.

Please return this form to:

Save The Red Lion Campaign c/o West Barn, Northcombe Farm, Salcombe Regis EX10 0JQ

Or download a form from the Campaign blogsite –http://thepubinthevillage.blogspot.com and email it to: ThePubInTheVillage@gmail.com.