Membership application form

    I wish to apply for withdrawable shares to the value of £

    (For this issue the minimum shareholding is £250 and the maximum is £40,000)


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


    After reviewing this application form we will send you a shareholding membership deed and membership agreement with a SAE for you to sign and return .


    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 Ltd may at its absolute discretion require verification of the identity of any person wishing to invest.