Financial Assistance Owner Agreement
Financial Assistance Program form for the Food Shed Co-op
* Required
Email address
*
Your email
Primary Owner:
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Your answer
Additional Adults in the Household:
Your answer
Address:
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Your answer
Phone Number:
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Your answer
Email Address:
*
Your answer
I (as PRIMARY OWNER) hereby agree to purchase, and McHenry County Food Cooperative doing business as Food Shed Co-op, a cooperative corporation organized under the laws of Illinois, agrees to transfer to me two (2) shares of common stock in the Cooperative. With this transfer of stock, I will become a member and part owner of the Cooperative. I certify that I am a resident of the State of Illinois or Wisconsin and that I am at least 18 years old.
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YES - I ATTEST to the statement above.
NO - I DO NOT AGREE with the statement above.
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