Member-Owner Terms:

The Co-op on whose behalf this subscription is solicited has been incorporated as a cooperative association under the laws of the State of Minnesota. The share(s) hereby subscribed for will be evidenced by share certificates issued by the Co-op. The member interest hereby subscribed for will confer the right to purchase goods and services at member prices to the subscriber and not more than one adult member of the subscriber’s household (as designated by Secondary Member below) and any number of children of the subscriber. Purchasing rights for additional adults in the household of the subscriber may be obtained by payment of an additional fee.

The share(s) hereby subscribed for will entitle the holder to no dividends, will not be redeemable for more than their issuing price, will entitle the holder to no more than one vote in any matter presented to a vote of members irrespective of the number of shares subscribed for, will not be transferable except to the Co-op, and will be subject to terms and conditions in the Co-op’s articles of incorporation and bylaws.

I understand that funds remitted pursuant to this subscription agreement are subject to the risks inherent in any start-up enterprise of this character, and that such risks may result in the loss of part or all of such funds.

**If this subscription is for a share at the low-income level, I certify that I am either a recipient of one or more of the following: food stamps (EBT), supplemental security income (SSI), Medicaid, WIC program, Family Health Plus and Child Health Plus, or Section 8 housing subsidy; or could qualify for such programs if I chose to; or meet Federal Low-Income Guidelines based on my income and family size.

Primary Member First Name (required)

Primary Member Last Name (required)

Primary Email (required)

Secondary Member First Name

Secondary Member Last Name

Secondary Email

Business/Organization Name

Mailing Address Line 1 (required)

Mailing Address Line 2

City (required)

State (required)

Zip Code (required)

Phone Number (required)

Member-Owner Share Type
StandardLow-Income

Number of shares you wish to purchase today
0102030405060708091011121314151617181920

Referred By

Can we announce your membership on social media and the web?
Yes, Full Name + CityYes, First Name + CityNo thank you

I agree to the terms as outlined in this form.

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