OPTION C MEMBER-OWNER CHECKOUT

You have selected the option to pay $200 in full for your member-ownership share, and to contribute to the Solidarity Fund. Thank you for helping to support equity in our Co-op community!

Please complete the form below and continue to Paypal to complete your purchase. We will reach out to you separately for your Solidarity Fund Contribution. You will receive a confirmation email once your payment has been received.

Please note: If you purchased an annual membership prior to October 1st, please contact the store for your specific amount due.

Name

First Name

Last Name

Address

City, State ZIP

Phone

Best number to reach you at.

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Please list names and emails of additional shoppers in household. (3 maximum).

Please indicate the amount you wish to donate to the Solidarity Fund over and above your own share.

Please tell us your preference for receiving coorespondence from the Co-op. *

The co-op sends a monthly newsletter to all members and subscribers. This monthly email includes special sales information, invitations to events, recipes, articles relating to health and food, and information about member responsibilities and opportunities. 3 or 4 times a year we send an extra message in a month, usually related to member-specific responsibilities and opportunities, such as calls for working member support, voting and annual member meeting reminders. It's important for us to be able to reach you with the member-specific information, but if you wish to opt out of the monthly newsletters, sales articles and invitations, just check the appropriate button below.

Please send me information about Co-op sales, events, and member-only information

Please send me information about events, and member-only information

I only want to receive necessary member information

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