This is the Member Agreement + Owner Registration
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The next page is a PDF of the Member Agreement
Please take a moment to read the Member Agreement thoroughly. This page is for
viewing only
. You will fill out the agreement with your information on later pages.
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Name
(Required)
First
Last
Phone
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Email
(Required)
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Initials
(Required)
I affirm that I am not a part of, and do not represent any State, Municipality, Agency, article of international commerce, public title, or fiction. Should I be a part of the aforementioned, but not limited to those listed, and intending to join this Association NOT for its expressed purposes and NOT in its expressed Member status, I acknowledge that I cannot and will not ever be allowed as a Member of this Association. Should I make the mistake lying about my intentions and acknowledgement of the Association’s purpose and Member status, I realize that the Association upon finding my mistake will immediately terminate my Member status. I freely and intelligently choose to enter into Covenant with this Association as a Private Member of it in exclusive equity.
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Owner
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Owner
Owner
Your Annual Owner Fee
Price:
Your Your Owner Due is $100.00 recurring payment. How would you like to convey your exchange today?
Credit Card (Pay Today)
Cash or Check (Pay in Co-op)
eSign Assent
(Required)
I assent and intend to use my electronic signature instead of my handwritten signature.
Member Disclosure Regarding, entering this Covenant Electronically
Please read the information below carefully.
By checking the box above you are agreeing that you have reviewed this Member eFill Disclosure and assent and intend to use your electronic autograph instead of your wet ink autograph to indicate your intelligent acceptance of this Member Covenant. You also acknowledge that this is not your signature but your autograph, and that any occurrence of the word 'signature' that cannot be changed by us, as in the electronic signing apparatus, shall not mean signature but only and ever
autograph
.
You are not forced to sign this Member Covenant electronically.If you prefer not to sign this Covenant electronically, you may request paper copies from the New Melle Food Co-op by emailing our office - info@newmellefood.coop
Member Autograph
(Required)
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Date
(Required)
MM slash DD slash YYYY
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Director or Officer Name
(Required)
First
Last
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Current Day
Use just a number like '12'
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Current Month
Spell out full month do not use abbreviations
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Current Year
Use just a number like '2024'
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Director or Officer Autograph
(Required)
Waiting for another signer
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Date
(Required)
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