Membership Fee Assistance Application Form

We want everyone who wants to be a part of the store to have the opportunity to be a member. A full household membership share costs $250, but if you cannot afford the full price you can apply for assistance from the cooperative. Fill out the Membership Assistance Application Form below and someone from the Board will be in touch.

Please know that everyone, whether you are a member or not, will be welcomed at the store to shop and connect.

Name

First Name

Last Name

Phone

(###)

###

####

Please 1) let us know how much you might be able to afford to pay, 2) tell us about your connection to the store, and 3) help us understand how you would like to participate in our store community:

Membership Fee Assistance Application Form

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