Member Application





I, , hereby apply for membership in the Fredericton Direct Charge Co-Operative.
I agree to comply with the By-laws of the association. I realize that the following are among the requirements of membership:

a) I am required to purchase a total of thirty (30) shares at one dollar ($1.00) per share to be entitled to shopping privileges. Thereafter I am required to purchased two (2) shares each week until I have purchased at least one thousand (1,000) shares.
*For the Limited Purchase Program shares are paid at a rate of $1.00 per week.

b) I am to pay a weekly service fee to cover my portion of the operating costs in an amount to be established from time to time. At present a fee of one dollar ($1.00) a week per unit is being charged.
*For the Limited Purchase Program, the weekly service fee is waived and members pay 2% on their food purchases only.

c) Any balance remaining in respect to b) may be collected from my share capital.

d) I may resign my membership in the co-op if I move from the area or, at any time, on sixty (60) days notice. This notice is to be made in writing to the Secretary of the Association. With this I will be entitled to have returned my total investment in share capital, less any outstanding amount in b) above, subject to the By-laws.

e) This co-op will serve MEMBERS ONLY, and I agree to take no merchandise from the store for others unless they are members of my household.

In consideration of this agreement, Fredericton Direct Charge Co-Op agrees that it will purchase for members selected items of merchandise and turn them over to me at a price deterrnined by the budget. Variances in cost of merchandise may occur and such will be accepted by me based on membership approval.

PLEASE COMPLETE THE FOLLOWING INFORMATION

Name
Email Address
Address
Postal Code
Date of Application
Month:     Day:      Year:
Home Phone
Work Phone
Number of persons in household
Number of vehicles
Have you been a member of this,
or any other co-op before?
YesNo
If yes, where and when?

Nomination of Beneficiary

I, , pursuant to Section 51 (2) of the Co-Operative Association's Act, hereby nominate:
Name:
Relationship
Address:
Dated at Fredericton this:
day of , 20.
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