OPTION B MEMBER-OWNER CHECKOUT

At this time, I’m not able to pay the full $200 for a Co-op member share, or the full first $40 in a payment plan.

Please fill out the form below to sign up. Please indicate the amount you can pay, and the amount you are requesting from the Solidarity Fund for your membership, and we will reach out to collect payment from you and from the Solidarity Fund. (Maximum available per membership is $40 in one year. Additional requests may be made the following year.)

Name

First Name

Last Name

Address

City, State ZIP

Phone

(###)

###

####

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

Please indicate the amount you can pay toward your Member-Owner share

Please indicate the amount you are requesting from the solidarity Fund.

Please tell us your preference for receiving messages 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 Co-op events, and member-only information

I only want to receive necessary member information

At this time, I’m not able to pay the full $200 for a Co-op member share, or the full first $40 in a payment plan.

Info