"Membership Agreement Template - George Street Co-op" - New Jersey

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Download "Membership Agreement Template - George Street Co-op" - New Jersey

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Membership Agreement
New member
Renewing member
First name:
Last name:
Member #:
Street:
City:
State:
Zip:
Volunteering?
yes
no
maybe
Phone
:
Email:
(best #)
Email me about Co-op sales and upcoming community events:
yes!
no, thanks
Tell us more about your
Do you prefer an alternative to email for important membership updates?
phone
SMS
interests on the back!
Are you joining / renewing
First name:
Member #:
as a household
Last name:
(2+ people at a single address)?
Phone
:
Volunteering?
(best #)
yes, second person here
yes
no
maybe
no
Email:
Email me about Co-op sales and upcoming community events:
yes!
no, thanks
Tell us more about your
Do you prefer an alternative to email for important membership updates?
phone
SMS
interests on the back!
If you’re a new member... equity!
If you’re a renewing member... renewal fee!
Every member builds the Co-op with an equity
Happy anniversary! Those who are ALREADY members
investment. This is the $100 purchase of your Co-op
renew our membership each year with a $20 fee ($30 for
share ($150 for households) OR it’s your sweat equity
households).
volunteer work.
Regardless of how your equity was completed, we all chip
You only pay equity once, when you join as a new
in to support the Co-op financially when we renew!
member. The annual fee is waived for new members!
If you’re a new member, choose your equity plan:
Payment
I’m buying my share in full: $100 ($150 for households).
Amount enclosed for equity:
$
I’m paying in $25 installments every three months.
Amount enclosed for renewal fee:
$
I’m applying for sweat equity. (If a student or
Total amount enclosed:
$
economically qualified, this is ten hours of volunteer time.)
Terms of Agreement:
I have paid the membership fee as required. I understand the privileges and terms of membership in the George Street
Co-op, Inc. and I am aware that non-compliance with this agreement may result in loss of membership. I understand that my membership card is not
transferable, and it is my responsibility to notify the Co-op management if it is lost or stolen. The card must be surrendered upon termination of
membership. (Please note: Half of your equity is a non-refundable investment in our Co-op. The other half is refundable if requested within one year
of non-renewal. Please allow 90 days for refund requests to be processed.)
Signature: ____________________________ Date: __________
Signature: ____________________________ Date: __________
Payment & form received by cashier
Date:
Cash
Credit/Debit
Check (#________ )
:
Payment and form received by
__________________________________
Date:____________________
:
Payment and database processed by: _____________________________
Date:____________________
Agreement form filed by: _______________________________________
Date:____________________
Orientation given by: __________________________________________
Date:____________________
Student ID / sweat equity qualification verified by: _________________
Date:____________________
Membership Agreement
New member
Renewing member
First name:
Last name:
Member #:
Street:
City:
State:
Zip:
Volunteering?
yes
no
maybe
Phone
:
Email:
(best #)
Email me about Co-op sales and upcoming community events:
yes!
no, thanks
Tell us more about your
Do you prefer an alternative to email for important membership updates?
phone
SMS
interests on the back!
Are you joining / renewing
First name:
Member #:
as a household
Last name:
(2+ people at a single address)?
Phone
:
Volunteering?
(best #)
yes, second person here
yes
no
maybe
no
Email:
Email me about Co-op sales and upcoming community events:
yes!
no, thanks
Tell us more about your
Do you prefer an alternative to email for important membership updates?
phone
SMS
interests on the back!
If you’re a new member... equity!
If you’re a renewing member... renewal fee!
Every member builds the Co-op with an equity
Happy anniversary! Those who are ALREADY members
investment. This is the $100 purchase of your Co-op
renew our membership each year with a $20 fee ($30 for
share ($150 for households) OR it’s your sweat equity
households).
volunteer work.
Regardless of how your equity was completed, we all chip
You only pay equity once, when you join as a new
in to support the Co-op financially when we renew!
member. The annual fee is waived for new members!
If you’re a new member, choose your equity plan:
Payment
I’m buying my share in full: $100 ($150 for households).
Amount enclosed for equity:
$
I’m paying in $25 installments every three months.
Amount enclosed for renewal fee:
$
I’m applying for sweat equity. (If a student or
Total amount enclosed:
$
economically qualified, this is ten hours of volunteer time.)
Terms of Agreement:
I have paid the membership fee as required. I understand the privileges and terms of membership in the George Street
Co-op, Inc. and I am aware that non-compliance with this agreement may result in loss of membership. I understand that my membership card is not
transferable, and it is my responsibility to notify the Co-op management if it is lost or stolen. The card must be surrendered upon termination of
membership. (Please note: Half of your equity is a non-refundable investment in our Co-op. The other half is refundable if requested within one year
of non-renewal. Please allow 90 days for refund requests to be processed.)
Signature: ____________________________ Date: __________
Signature: ____________________________ Date: __________
Payment & form received by cashier
Date:
Cash
Credit/Debit
Check (#________ )
:
Payment and form received by
__________________________________
Date:____________________
:
Payment and database processed by: _____________________________
Date:____________________
Agreement form filed by: _______________________________________
Date:____________________
Orientation given by: __________________________________________
Date:____________________
Student ID / sweat equity qualification verified by: _________________
Date:____________________
It's your Co-op... get involved!
Our Volunteer Coordinator will be in touch to help you schedule your time and match
you with activities you'll love.
How much time can you volunteer?
Chances are that whatever your
interests, we have a committee to make
__ 2 hours per week
it happen. Let us know which ones you'd
15% worker discount
like to find out more about.
__ 6 hours per week
25% Superworker discount
__ Product Committee
__ 2 hours per month
Decide on delicious and ethical
8% discount
__ any other amount, large or small: ____
options to stock our shelves
don't worry, we'll figure out your %!
__ Outreach Committee
__ none right now
Let the community know what's up
5% non-working discount
at the Co-op
__ Newsletter Committee
Write or design for our monthly
What kinds of store work interest you the
publication
most?
__ Finance Committee
Help the Co-op plan its fiscal future
__ cashiering (be a community liaison!)
__ cleaning
__ Membership Committee
__ bulking and stocking shelves
Build our membership and
__ office work
coordinate our volunteer team
__ café
__ Facilities Committee
__ specialized tasks
Maintain and upgrade our store and
community spaces
__ Tech Committee
Do you have cashier experience?
Maintain our computer equipment,
website, and data systems
Do you love cleaning?
__ Personnel Committee
Ensure fair and consistent
Do you have a special skill or interest you'd
treatment of the Co-op's paid staff
like to share with the Co-op? Tell us more!
__ Meetings & Elections Committee
Oversee the Co-op's democratic
activities
When can you volunteer?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
10am-8pm
10am-8pm
10am-8pm
10am-8pm
10am-8pm
10am-7pm
10am-6pm
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