COMMUNITY LED

PROFESSIONALLY RUN

Share Offer

If you prefer to download and complete this form offline please follow this link and download the PDF version.

Application for Membership

If you wish to become a member of Covenham Plough Community Hub Limited (CPCH Ltd) by investing in the society, please complete the form below, we will acknowledge receipt within 24-48hrs. If you have any questions about the form or how to complete it please call or email (information to right of this form):

The Treasurer
c/o Ashtree House
Main Road
Covenham St Bartholomew
Louth
LN11 0PF

Email: [email protected]


















Value of shares you wish to purchase; Shares cost £25.00 each. (Required):


  i) by cheque payable to Covenham Plough Community Hub Ltd. Please forward your cheque to the address given above.

  ii) by direct transfer to CPCH's Ltd. bank account, as follows:
    Sort Code: 20-45-45
    Account: 73633349
    Reference: (We suggest postcode, initial and surname without spaces for ease of identification).
    Please confirm if you have made a direct payment into our account using the reference above:

By requesting that you become a member of Covenham Plough Community Hub Ltd (CPCH Ltd) you agree to your name, address, phone number, email address and the value of shares you wish to purchase being held by the data controller. By completing this application you are confirming that you understand that this information will be used for the purpose of maintaining a register of members and potential members as required by the rules of CPCH Ltd and for posting of notices regarding the activities of CPCH Ltd. This information will not be passed to third parties unless required to do so by law.

By clicking on the button "Send Share Request" below, you also confirm that you are over the age of 16 years and you hereby apply for the number of Shares referred to above on the terms of the Information Document and the Rules of CPCH Ltd.

** PLEASE CHECK THAT YOU HAVE COMPLETED THIS FORM CORRECTLY BEFORE SUBMISSION **