170 Doak Road Fredericton, NB
Your Name (required)
Co-applicant
Address (required)
Your Phone (required)
Your Email Number in Household 1234567
Have You been a Member of The Co-op Before YesNo
Would you like to serve on a committee or Board of Directors? YesNo
Where did you hear about us? ReferralRadioNewspaperFamilySocial MediaOther Please Complete: Nomination Of Beneficiary
I, Your Name (required) and Co-applicant (if joint membership) Pursuant to section 51(2) of the Co-operative Association Act, hereby nominate: Name: Relationship: Address:
1.*I agree to purchase 10 shares at $1.00 per share (for a total of $10.00) to be entitled to shopping privileges. Thereafter, at the time of purchasing goods, I agree to contribute an amount equal to 2% of my food purchasing total before taxes toward my share capital account until I have reached $1000.00 which is the amount set by the By-laws of the Co-operative. 2.*I agree to pay a weekly service fee as determined yearly by the membership at the Annual General Meeting. I have the option to pay this fee as a lump sum payment anytime during the year and receive a $5.00 discount . (Service fee presently set at $1.00 per week) 3.*I agree, at the close of the fiscal year, that any balance due regarding my service fees will be paid using the funds accumulated in my Share Capital account. 4.*I agree that Fredericton Direct Charge Co-operative is a MEMBERS ONLY Co-operative and I agree not to purchase merchandise from this Co-operative unless it is for my use or the use of persons living within my household or being gifted from a member of my household. 5.*I agree to give SIXTY (60) DAYS NOTICE IN WRITING to the Secretary of Fredericton Direct Charge Co-operative if I wish to resign my membership. If the resignation submitted is due to death or moving out of the shopping area of the Co-operative I agree that a death certificate or proof of moving must be submitted to the Secretary to waive the notice period above. The amount in my Share Capital account less any outstanding amount owing to the Co-operative will be returned to me or my beneficiary in the form of a cheque in accordance with Board policies and the Co-operative*s By-Laws. (Resignation forms are available at the Service Desk) In consideration of this agreement, Fredericton Direct Charge Co-op agrees that it will purchase selected items of merchandise and offer them to me, as a member, at a price determined by the budget. Variances in cost of merchandise may occur and such variances will be accepted by me based on membership approval.
By checking this box you agree to all terms and conditions mention above