Membership Application Form

    Shares & Payment

    2. [Optional] I wish to apply for withdrawable shares (in excess of the 250 membership shares) to the value of £

    Note: For this issue the maximum is £25,000.

    3. I wish to receive the following interest on my withdrawable shares per annum:

    4. Payment:

    Your Application

    Select your application type and the relevant fields will appear below.
    Application type:

    Note: Joint membership is available for two people of the same household and only counts as one member vote. Family membership is available for families of the same household with dependant children (under 16 years) and only counts as one member vote.


    Have you been here less than 3 years?

    If here for less than 3 years please give previous address:

    Joint Applicant:

    Parent 2:

    Dependent 1

    Dependent 2

    Dependent 3


    Terms & Conditions

    Membership Agreement

    After reviewing this application form we will contact you to arrange the payment of shares after which you will be issued with a Share Certificate.


    Data protection and money laundering: The data provided by you will be stored on a print and an electronic database. This data will be used for Coed Talylan Land Trust purposes and will not be disclosed to any third party. It is a condition of the offer to ensure compliance with the Money Laundering Regulations 2003 that the Coed Talylan Land Trust Limited may at its absolute discretion require verification of the identity of any person wishing to invest.

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