Port Orford CommUnity Co-op Owners Subscription Agreement
PO Box 404, Port Orford, OR 97465 poccoop@gmail.com; www.portorfordcoop.org
Email address *
About memberships
Members play a vital role in capitalizing our start up costs and additionally play an equally important role in allowing us to meet our Members’ need for fresh, local and organic foods. [Note: upon acceptance, a Member of the Co-op is an Owner of the Co-op. The legal term for the Owner’s status in Oregon Revised Statutes (“ORS”) is (“Member"), and ORS requires payment of a Membership Fee for Membership. The Co-op prefers the term (“Owner”) for its Members, but it uses the term (“Membership Fee”) to refer to the fee which the person must pay to become an Owner.]

To become an Owner of the Port Orford CommUnity Co-op (POCC), please fill out this form and bring it by the store with your Membership Fee payment or mail both to POCC, PO Box 404, Port Orford, OR 97465.

The Membership Fee is $100. There are two payment options:
Payment in full.
Installment payments. Consecutive monthly payments of $25. Discounts and other benefits for Owners will begin immediately and will continue as long as you pay your Membership Fee
Date *
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Member-applicant name *
Your answer
Street address: *
Your answer
Mailing address: *
Your answer
City, State, Zip: *
Your answer
Phone: *
Your answer
Email: *
Your answer
Household members authorized to make purchases at Co-op on Member’s account: *
Your answer
By submitting this form, I confirm that I have received, read, understood and agree to the Port Orford CommUnity Co-op Bylaws, I will pay the balance of my membership fee monthly until fees are paid in full, and that I will notify the Co-op within 30 days of changes to my contact information. I have agree to the Port Orford CommUnity Co-op Bylaws: *
Required
Sign me up to receive updates from the POCC. *
I would like to volunteer my time and skills at the Co-op. *
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