OPTION A-2 MEMBER-OWNER CHECKOUT

You have selected the option to pay for your $200 membership over 5 years. After completing your first payment of $40 you will be a full voting member-owner in the High Falls Food Co-op!

Please complete the form below and continue onto Paypal to complete your purchase. 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

(###)

###

####

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

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 events, and member-only information

I only want to receive necessary member information

Info