Membership Form
Please complete this form in its entirety. Your membership is not complete until we receive your member fee. You can mail a check for the appropriate amount to Upstate Food Co-op, 404 John Holliday Rd, Six Mile SC 29682 Attn: memberships

Membership prices depend on when you join. The annual fee is $24 and runs from Jan 1-Dec 31. If you join in a different month, you pay the prorated amount. You may have a one month trial membership for $3. Existing members must renew at the $24 amount regardless of the month they renew.

If you join in:
- January your membership fee is $24
- February your fee is $22
- March $20
- April $18
- May $16
- June $14
- July $12
- August $10
- September $8
- October $6
- November $4
- December $2

Your first and last name *
Your answer
Spouses first and last name
Your answer
Mailing address *
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
Phone *
Your answer
Alternate phone
Your answer
Email address *
Your answer
Talents & comments
Your answer
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This form was created inside of Upstate Food Coop.