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
I would like to do some voluntary work, in particular...