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
) 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 (
) for the new Kokua. This will then be expanded into a formal business plan for soliciting new members, funders, and donors.
Any questions? Email
Secondary Phone # (if applicable)
Are you a current member of Kokua?
If you know it, what is your membership number?
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
# of shares X $150 (add a $10 administrative fee if you are not already an owner).
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)
I sent a check to "Kokua Market" to this address: Kokua c/o Laurie Carlson, 1020 Maunawili Loop, Kailua HI 96734
I sent a payment through Paypal to "
" (ensure you "Send to Friends and Family" to avoid the fee)
I will drop off a check or cash during open hours 10am-6pm enclosed in an envelope with my name and address on it
I am willing to make a loan of:
Minimum of $3,000. Skip if not interested
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.
Friend (if it was a specific friend, please check "Other" and indicate their name)
Any additional comments/questions?
Send me a copy of my responses.
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