I⁄We apply for the number mentioned below of Ordinary Shares of £1 each in the Company ("Shares") at £1 per Share and
enclose my⁄our remittance for the amount stated being the sum payable on application for such Shares.
A. Please insert the total number of shares that you are applying for and the total amount payable on the application.
Total number of Shares(minimum £100)
Amount payable(minimum £100)
B. To the Directors
I ⁄ We request you to allot to me ⁄ us such number of Shares upon the terms of the Company's Prospectus and subject to the
Memorandum and Articles of Association of the Company. I ⁄ We hereby agree to accept the same or any lesser number of Shares
in respect of which this application is accepted, together with a cheque for any monies returnable, by post at my ⁄ our risk to
the address first written below.I ⁄ We warrant and declare that the due completion and delivery of this form accompanied by a remittance
will constitute a legally enforceable promise by me ⁄ us that the remittance attached will be met on first presentation and any such
allotment is made strictly on this understanding.
Shareholder #1 (required):
Shareholder #2 (optional):
C. Telephone number for contact purposes in connection with this application.
D. I ⁄ We confirm that I ⁄ we wish to receive future communications from the Company by email or by email alert to information on the Company's website.
E. Enterprise Investment Scheme:
F. Desired payment method:
A copy of the Prospectus issued by Churnet Valley Railway (1992) PLC ,can be obtained from the Company's Registered Office. Or by