Membership Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. – Step 1 of 3Welcome to the Aliquippa Food Co-op! We are thrilled to invite you to join a growing movement dedicated to nourishing our community. Please fill out the application below to join. 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Adults in Household (to share membership among household members) First NameLast Name Membership Beneficiary (Individual who will inherit your share) *FirstLastNextMember-Owner Agreement Summary of bylaws The Co-op’s bylaws can be found in their entirety at aliquippafoodcoop.com/about/bylaws Membership Rights & Responsibilities Active member-owners in good standing have the right to vote in Co-op business such as electing the Co-op’s Board and approving changes to the bylaws. Member-owners are considered active and in good standing if they are current in their membership fees, keep the Co-op informed of any changes in name or current address, and abide by the Co-op’s bylaws and policies. Termination of membership If, at any time, you choose to terminate your membership, membership fees will be returned within 90 days upon written request and subject to approval of the Board of Directors. The General Manager reserves the right to terminate membership of an individual or a household at any time for cause. Cause may include intentionally or repeatedly violating Co-op bylaws or policies, stopping the Co-op from accomplishing its purposes, acting or threatening in a way that adversely affects the Co-op or its members, or engaging in illegal activities that affect the operations of the Co-op such as theft, violence, or harassment of staff, members, or shoppers. Termination can be appealed to the Board in writing. General Release and Waiver of Liability Funds governed by this agreement are subject to risks inherent in any start-up enterprise such as the AFC and that such risk may result in the loss of part of all of such funds. Membership equity investments are subordinate to all other debts of the Co-op. The AFC Board shall keep a record of all membership investments and shall provide an accounting of such funds to any Member upon written request. Membership equity is not entitled to a dividend and is not transferable. Agreement Confirmation *I have read and understand and specifically agree to all the language in this agreement. I agree to release AFC from any liability associated with the loss of all or part of my equity in the enterprise.I certify by my signature that I am at least 18 years of age and have full mental capacity to enter into the Agreement.Additional Membership Details Membership Records Everyone is welcome to become a member of the Aliquippa Food Co-op. Membership equity is required for each member household. The Co-op shall keep a record of all membership investments. Membership equity is not entitled to a dividend and is not transferable. When a member leaves the Co-op, the investment may be refunded to the member upon written request, with the approval of the Board of Directors. Membership equity investments are subordinate to all other debts of the Co-op. Disclaimer and Signature I understand that I am committing to adhere to the bylaws and policies of the Aliquippa Food Co-op at present and in the future. I certify that my answers are true and complete to the best of my knowledge. I understand that false or misleading information in my application may result in termination of my membership. I understand that funds covered by this agreement are subject to risks inherent in any start-up enterprise like this, and that such risk may result in loss of part or all such funds. I am of legal age and able to enter into a contract in the State of Pennsylvania. Signature * Clear Signature members) In share NextPayment FormNote regarding online pricing: Membership of the Aliquippa Food Co-op is a one-time investment of $250. Prices listed below include processing fees by our online payment processing provider. Passing on fees is necessary so that 100% of the $250 member-owner equity is invested in the co-op. To avoid these fees, you can pay in person or by mail. Please email info@aliquippafoodcoop.com for more information. Dropdown *— Select Choice —I would like to pay in fullI would like to choose a payment planPay In Full Option *Plan A: Pay in Full, $258 One-Time Payment (Processing fee included)Recurring Payment Plans (each plan is $250 in total payments) *Plan B: $52 Initial Payment, $52 Quarterly for 4 Quarters (Processing fee included)Plan C: $26.50 Initial Payment, $26.50 Monthly for 9 Months(Processing fee included)Plan D: $11 Initial Payment, $11 Monthly for 24 Months(Processing fee included)Total Amount$0.00Stripe Credit Card *By clicking submit, you agree to have your account drawn for the amount and fees listed in the plan chosen above. In the case of payment plans, this amount will automatically be drawn monthly or quarterly. Submit Share this: Share on Facebook (Opens in new window) Facebook Email a link to a friend (Opens in new window) Email Like this:Like Loading...