Notice of Dividend Amount • Apr 6, 2011
Notice of Dividend Amount
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Mandate Form
| Name of Shareholder(s) in block capitals | |
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| Address | |
| Investor code number | |
| Number of D Shares required to participate in the Scheme (to be completed by nominees only) |
If you wish to participate in the Albion Development VCT PLC D Shares Dividend Reinvestment Scheme ("the Scheme"), please sign and return this form, to Capita Registrars Limited, New Issues Department, The Registry, 34 Beckenham Road, Beckenham, Kent BR3 4TU, no later than 15 days before the payment of a dividend by the Company. Enquiries about the Scheme can be sent to this address and can also be made by telephone on 0871 664 0300 (calls cost 10p per minute plus network extras, lines are open 8.30 a.m.-5.30 p.m. Monday-Friday). If your Albion Development VCT PLC D Shares are held in more than one account you must complete a separate form for each account.
Nominees may request partial reinvestments by completing this form indicating the number of D Shares required to participate in the Scheme.
I/We, the undersigned, confirm that I/we have read and understood the terms and conditions of the Scheme set out in Part III of the circular to Shareholders dated 1 April 2011, and that I/we wish to participate in the Scheme for each future dividend paid on the D Shares of Albion Development VCT PLC. I/We agree that future dividends paid on Albion Development VCT PLC D Shares will be reinvested in New D Shares.
| Signature 1 | |
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| Signature 2 | |
| Signature 3 | |
| Signature 4 | |
| Date | |
| Daytime telephone number |
In the case of joint holders all must sign. In the case of a corporation this form must be executed under its common seal or be signed by a duly authorised official, whose capacity should be stated.
If this form is not completed to the satisfaction of Capita Registrars it will not be processed and will be returned to you for completion.
If you decide to participate in the Scheme you will be deemed to have agreed that any mandate which you may have given to Albion Development VCT PLC for the payment of cash dividends on D Shares directly to your Bank or Building Society account shall be suspended for so long as you remain a participant in the Scheme.
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