Kokua Market Share Purchase and Loan Pledge Form
Kokua’s survival depends on increasing member capital. State law and our bylaws, allow each of you to own 20 total shares. Our goal is to sell 1,000 member shares at $150 each. There will be matching funds available through lenders. If we do not reach our goal, we will RETURN all new share purchase checks and payments to contributors.

Please fill out this form and send your new shares purchase through Paypal (to bookkeeping@kokua.coop) or by mailing a check (address: Laurie Carlson 1020 Maunawili Loop Kailua HI 96734). Checks should be payable to Kokua Market with a note in the memo line indicating it is for the purchase of new shares. Please be sure to add your phone # & e-mail for our records.

We need passionate members like you to reach out to their friends and families to help raise this money. If you can buy more than a single share please do! If you can make a low or non-interest loan please indicate on the form. Reach out to your networks to get 25, 50 or more shares sold.

We have published a one page business vision (www.kokuamarket.com/the-kokua-2020-initiative) for the new Kokua. This will then be expanded into a formal business plan for soliciting new members, funders, and donors.

Any questions? Email kokuaboard@gmail.com.

Email address *
First Name *
Your answer
Last Name *
Your answer
Phone # *
Your answer
Secondary Phone # (if applicable)
Your answer
Are you a current member of Kokua? *
If you know it, what is your membership number?
Your answer
Mailing Address
Your answer
Number of Shares You are Purchasing *
$150 per share. You may purchase up to 20 shares of stock in Kokua. If you already have one, you can purchase up to 19 more
Total donated *
# of shares X $150 (add a $10 administrative fee if you are not already an owner).
Your answer
Confirm Paypal or check sent *
$150 per share. You may purchase up to 20 shares of stock in Kokua. If you already have one, you can purchase up to 19 more)
Required
I am willing to make a loan of:
Minimum of $3,000. Skip if not interested
Your answer
If you indicated a loan amount above, what is the interest rate you would be willing to offer?
How did you hear about this campaign?
Check all that apply.
Any additional comments/questions?
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Kokuahawaiifoundation.org. Report Abuse - Terms of Service