APPLICATION FORM FOR MEMBERSHIP 



The imperial PRESS, Ltd. 



Registered tindir th' Covipaniei' Acts, 1S62 to 1890 {tvherehy the liability of Men bets 



is limited to th'; amount of their Shares), with a capital of £2^,000, divided 



into 25,000 Shares 0/ £1 each {with po-iver to increase'). 



N.B. — The Application Form (which can he copied), with the remittaiice, should lie sent, in the first 

 instance, direct to the Bankers. 



2s. 6d. per Share is payabh on application, and 5s. per Sliai'3 on allotment, and the 

 balance by calls of 2s. 6d. per Shar?, as required, at one month's notice of call. 



TO THE E.XECUTn'E COMMITTEE OF "THE IMPERIAL 



PRESS, LIMITED." 



Registered Offices -21, SURREY STREET, STRAND, LONDON, W.C. 



GlCNTI.FMF.N, 



I desire to become ;i Member of "The Imperl\i, Press, LnnxED,'' 

 and to assist in any way in my power tlie objects of the undertaking ; and 

 having paid to your Puinkers, The London and Westminster Bank, 



LiMFi ED, Lothbury, London, E.C., the sum of £ : being a 



deposit of on an application for Shares of ^i each in the above- 

 named Company, I hereby apply for that number of Shares on the terms 

 and conditions of the Company's Memorandum and Articles of Association 

 and Prospectus, and subject to its contracts; and I agree to accept the same, 

 and to make the payments above mentioned ; and I authorise you to place 

 my name on the Register of Members of the Company, in respect of. the 

 Shares so allotted. 



Name in full _. 



Address 



Description 



Usual Signature - 



P(;i/e 



