Common Contracts
2 similar Membership Application and Agreement contracts
Centra Sota Cooperative MEMBERSHIP APPLICATION AND AGREEMENTMembership Application and Agreement • January 10th, 2021
Check product(s) interested in purchasing/ Type of Operation: Agriculture Consumer CommercialOr already purchasing: Agronomy Feed Fuel Fuel Oil Propane ALL APPLICANTS NAME (Last) (First) (Middle) DATE OF BIRTH/ / DRIVERS LICENSE NO. ADDRESS CITY STATE ZIP (Please check one)RENT OWN YEARS AT PRESENT ADDRESS PHONE SSN EMAIL ADDRESS PRESENT EMPLOYER PHONE # YEARS THERE: POSITION JOINT APPLICANT: NAME (Last) (First) (Middle) DATE OF BIRTH/ / DRIVERS LICENSE NO. ADDRESS CITY STATE ZIP PHONE SSN EMAIL ADDRESS PRESENT EMPLOYER PHONE # YEARS THERE: POSITION BUSINESS APPLICANTS ONLY BUSINESS NAME Sole Proprietor Business Partnership Corporation MAILING ADDRESS CITY STATE ZIP EMAIL ADDRESS DELIVERY ADDRESS CITY STATE ZIP FEDERAL I.D. NO. DATE BUSINESS STARTED IN WHAT STATE PERSON TO CONTACT REGARDING FINANCIAL MATTERS TITLE PHONE # BANK INFORMATION CHECKINGNO YES NAME OF BANK SAVINGSNO YES Has the applicant filed bankruptcy within the past seven years? NO YES If yes, provide date of filing and
Centra Sota Cooperative MEMBERSHIP APPLICATION AND AGREEMENTMembership Application and Agreement • April 15th, 2020
Check product(s) interested in purchasing/ Type of Operation: Agriculture Consumer CommercialOr already purchasing: Agronomy Feed Fuel Fuel Oil Propane ALL APPLICANTS NAME (Last) (First) (Middle) DATE OF BIRTH/ / DRIVERS LICENSE NO. ADDRESS CITY STATE ZIP (Please check one)RENT OWN YEARS AT PRESENT ADDRESS PHONE SSN EMAIL ADDRESS PRESENT EMPLOYER PHONE # YEARS THERE: POSITION JOINT APPLICANT: NAME (Last) (First) (Middle) DATE OF BIRTH/ / DRIVERS LICENSE NO. ADDRESS CITY STATE ZIP PHONE SSN EMAIL ADDRESS PRESENT EMPLOYER PHONE # YEARS THERE: POSITION BUSINESS APPLICANTS ONLY BUSINESS NAME Sole Proprietor Business Partnership Corporation MAILING ADDRESS CITY STATE ZIP EMAIL ADDRESS DELIVERY ADDRESS CITY STATE ZIP FEDERAL I.D. NO. DATE BUSINESS STARTED IN WHAT STATE PERSON TO CONTACT REGARDING FINANCIAL MATTERS TITLE PHONE # BANK INFORMATION CHECKINGNO YES NAME OF BANK SAVINGSNO YES Has the applicant filed bankruptcy within the past seven years? NO YES If yes, provide date of filing and
