Customer or Owner Contact Info Form
PLEASE USE THIS SECURE FORM TO ADD OR UPDATE YOUR CONTACT INFORMATION FOR THE CO-OP.
THIS IS USED TO KEEP OUR DATABASE CURRENT - WE NEVER SHARE OR SELL YOUR DATA!

If you are unsure what contact info we have on file, or if, please fill out this form and we will update as needed.

An email address is optional, though it is a great method for Co-op news communication. (You will be able to unsubscribe yourself if you ever choose to.)

If you would like to add a household member, partner, or spouse with a different email address, please use the last section of the form to enter their info.

A phone number is required by our POS system for each person.

Sign in to Google to save your progress. Learn more
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Keweenaw Cooperative Inc.. Report Abuse