Please complete and return this form today. Without sufficient pledges to buy shares, we will be unable to pursue the vision for a Wye Community Farm. (Questions 4 and 6 only are compulsory fields) 1) what produce would you wish to purchase from the Wye Community Farm? 2) Beyond food production, what enterprises/ initiatives would you wish to see in place on the Wye Community Farm? 3) I/We would be interested in helping to launch this initiative, and can offer the following skills/ expertise (please state; agricultural expertise, legal advice, business planning, fundraising, IT support, envelope stuffing, leafleting, etc….) 4) Should the vision for the Wye Community Farm become a reality, I/We would be interested in buying the following number of shares at £50/ share: 0 1 2-10 11-20 21-50 51-100 100+ 5) (Optional) I/We would like to make a no obligation donation of £ to help cover the costs of researching and developing this initiative. If you wish to make a donation at this stage, please print this form and return by post. Cheques are payable to 'Wye Community Land Trust'. Many thanks. 6) Please provide a full postal address so that we may send you a prospectus. Name: e-mail: Address: Security Code:
	Design by Luminate Design. Maintained by Digital Mango