Membership Application Form
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To become a member of UKSA, simply print this page out, fill out the form and send it with a cheque for your membership fee to: The Membership Secretary, BM UKSA, London WC1N 3XX. Cheques should be made payable to the UK Shareholders Association Ltd.

 Name  
 Address - Line 1  
               Line 2  
               Line 3  
 Post Code  
 Country  
 Telephone Number  
 Fax Number  
 E-mail Address (please write clearly)  
 Name of joint  member if joint membership required*  

Tick the following box if you wish to receive the "Private Investor" Newsletter via email as a PDF document: ¨ (email address required). This is strongly recommended as it saves UKSA the considerable cost of printing and postage.

Tick the following box if you wish to be added to the UKSA Events emailing list: ¨ (email address required) in which case you will be notified by email about UKSA events.

Tick the following box if you wish to be added to the UKSA Network emailing list: ¨ (email address required) in which case you will be notified by email about UKSA campaigns.

Any personal data will be used solely by UKSA or its agents to provide you with member services, to provide relevant information to you and for administration activities in relation to your membership. Tick the following box if you do not wish to be sent partner information: ¨

I apply to become a member/members of the United Kingdom Shareholders Association Ltd. Should the company be wound up, I/we agree to pay no more than £1 towards its debts if asked to do so.

Signature _________________________  Date ______________

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Copyright © UK Shareholders Association Ltd 2004. Refer to the Legal page for conditions of use of this web site.

* Membership costs £50 per annum, which covers two people at the same address.

Joint members receive only one copy of the UKSA Newsletter but otherwise have full membership rights.

Note that if you request the Newsletter in email format then you will need the Adobe Acrobat software to be able to read the file we send. This can be obtained without charge from:

 Adobe_Reader

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