Response FormPlease enable JavaScript in your browser to complete this form.Name *FirstLastMy contact phone number is: *Email *I would like to pledge to buy shares as follows: One share @ £20 = £20Five shares @ £20 = £100Ten shares @ £20 = £200Twenty-five shares @ £20 = £500Fifty shares @ £20 = £1000One hundred shares @ £20 = £2000Other, please use comments box belowThe minimum shareholding for Membership is one share. The price for one share is £20.I would like to make a donation as follows:£100£500£1000Other - please use comments box belowI am a local business and would like to make a donation of:I am a local business and would like to sponsor on a tiered basis as follows:Gold - £1000Silver - £500Bronze - £250Other - please use the comments box belowI would be happy to provide an interest free loan to the value of: I would like to Volunteer and can offer the following...I am a local supplier and would like to offer the following...Any other comment or questionThe information on this form will be kept confidential and only two people will see the details of any financial pledge. By completing this form you agree for us to hold your details in line with GDPR compliance regulations.Please add my email address to the circulation list *Yes pleaseNo thank youWe will be sending round monthly updates to keep everyone in touch with progressWebsiteSubmit