Your Full Name*
APPLYING FOR MEMBERSHIP AND BUYING SHARES Become a member I would like to become a member of Pink Lane Jazz Co-op Ltd.
I support the co-op's objects and wish to purchase shares. Shares cost £1 each. The minimum shareholding is 200 and the maximum is 20,000. Total value of shares you wish to purchase*
Please tick if appropriate I wish to apply for tax relief under the Enterprise Investment Scheme
How have you paid for your shares? I have posted a cheque made payable to 'Pink Lane Jazz Co-op Ltd' I have transferred money to the Pink Lane Jazz Co-op using online banking I have paid with PayPal
Volunteer I would like to do some voluntary work, in particular...