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Crow Wing Food Co-op Membership Application

Your Name*
Others in my household*
Address*
Street Address City State ZIP Code
Email*
Phone*
- I agree to purchase one life-time family membership, paying dues of $150.00 to be come a fully vested member-owner of Crow Wing Food Co-op.
- I am paying my dues in full to be a fully vested member-owner of Crow Wing Food Co-op
Gofundme
- I donated ______($ amount) via GoFundme to launch a new membership
Gofundme amount
Full $150 in membership
- I am paying ______ ($ amount) in dues today and will make incremental payments until I am a fully vested member, recognizing that I will not earn membership dividends until I have paid the full $150.00 in membership dues.
Full $150 membership
Previous dues totaling $60 or $80
- I am already a member-owner and I would like to bring my legacy membership (previous dues totaling $60.00 or $80.00) to the new fully vested member level of $150.00 by paying an additional ________ on my membership
previous dues totaling $60-80
Membership dues were increased from $80.00 to $150.00 by a member vote in December2019. Patronage dividends will be allocated back to member-owners each year the Co-op is profitable. Patronage dividends are given based on a proportion of profit that the business makes, calculated based on how much the member-owner has utilized Co-op services.
Member Signature*
Date*
Date Format: MM slash DD slash YYYY
Member No: (if known/applicable)
(assigned by CWFC staff)
Dues Payment Method
- Check in the mail
- Check or credit card at store
- Call Me for credit card #

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