Page 5 Advertisements Column 1

Dominion, Volume 6, Issue 1620, 11 December 1912, Page 5

THE DOMION PORTLAND CEINT COifiY, LIMITED. (To be incorporated under "The Companies Act, 1908.") Applfcatioe 'for' -Shares-' SCO THE PROVISIONAL DIRECTORS OF . ;; : ' : THE DOMINION-PORTLAND CEMENT COMPANY, LTD., I'. 158 Featherston Street, Wellington. .- Gentlemen, Enclosed please find )«,...„«,„#•/■ Having paid to your.Bankers \ the sum ° f '•* '. being a deposit of 2/6 per Share on application for ; Snares in the above-named Company, I hereby request you to allot me that number of Shares upon the terms of the Prospectus of the Company, dated 7th day of November, 1912,' and of the Memorandum and Articles of Association.of the Company, and I hereby agree to accept such Shares or any smaller number you may allot to me, and I further agree to pay the balance as provided by the said Prospectus, and I request you to place my name upon the Register of Members in respect of the Shares which may be allotted to me. Ordinary Signature g 'Name (in full) • • 2 (Please state if Rev., Mr., Mrs., or Miss) a 2 . Address •■•• • g<o „,. '. •••••• °" Description '• •■ • • , ; j Dated... ~ ..m... w .,/p