Norton Lindsey Community Pub Ltd.

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Form for changing Member details

Deceased's Name *

First

Last

Deceased's Email

the email address registered with the society. Leave blank if no email is registered

Shareholder Number

this is shown at the top left-hand side of your Share Certificate. Note: if you cannot find the shareholder number then please state the address currently registered with the Society, below

OR Registered Shareholder Address

ONLY required if you don't know the Shareholder Number, above

New Name *

First

Last

the name that the shares are to be transferred to

New Shareholder Address

New Shareholder Telephone Number

New Shareholder Email Address *

Email

Confirm Email

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