Financial Assistance Owner Agreement

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Financial Assistance Program form for the Food Shed Co-op

Email *

Primary Owner: *

Additional Adults in the Household:

Address: *

Phone Number: *

Email Address: *

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.

Required

Clear form

Never submit passwords through Google Forms.

This form was created inside of Food Shed Co-op. Report Abuse

Forms