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The Kerry Bog Pony Co-Operative Society Ireland

Application for Membership

Form A

Application for Ordinary Shares by an Individual

I, the undersigned, hereby apply for one Ordinary Transferable One Euro (�1) Share in the Kerry Bog Pony Co-operative Society, in respect of which I agree to make the payments required by the Rules of the Society and otherwise to be bound thereby.

A person admitted to membership becomes liable for payment of an annual membership fee of �50.






















Membership fee enclosed: