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Membership Application Form

Shares & Payment

1. I agree to pay the minimum membership shares of £250
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: 0%1%2%3%

4. Payment: I wish to pay by chequeI wish to pay by BACS

Your Application

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

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.

Applicant

First Name: Surname: Date of Birth: Your address: Town / City: Postcode: Phone: Your email:
Have you been here less than 3 years? YesNo

If here for less than 3 years please give previous address:
Your previous address: Town / City: Postcode:

Joint Applicant:

First Name: Surname: Date of Birth: Your address: Town / City: Postcode: Phone: Your email:

Parent 2:

First Name: Surname: Date of Birth: Your address: Town / City: Postcode: Phone: Your email:

Dependent 1

First Name: Surname: Date of Birth:
Add another dependent:

Dependent 2

First Name: Surname: Date of Birth:
Add another dependent:

Dependent 3

First Name: Surname: Date of Birth:

Agreement

I have read the Membership and Share Offer document, including the risk factors pertaining to this offer I wish to become a member of the Coed Talylan Land Trust Limited
I agree to be bound by the Terms & Conditions included in the Membership and Share Offer, which can be viewed at: Terms & Conditions

I agree to the Membership agreement, this can be viewed at the following link: Membership Agreement

I consent to receiving formal notices by email

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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© 2024 Coed Talylan. © Coed Talylan Land Trust Limited registered in England and Wales as a community benefit society under the Co-operative and Community Benefit Societies Act 2014, Registration No. 7366