Financial Assistance Owner Agreement
Financial Assistance Program form for the Food Shed Co-op
Additional Adults in the Household:
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.
YES - I ATTEST to the statement above.
NO - I DO NOT AGREE with the statement above.
Page 1 of 4
Never submit passwords through Google Forms.
This form was created inside of Food Shed Co-op.