Associate Member Agreement for 2020 NEWAssociate Member Agreement • May 12th, 2020
Contract Type FiledMay 12th, 2020Please Fill Out CompletelyName First LastMailing Address City State Zip CodeAre you under 21, have an interest in any other alcohol license, or involved in law enforcement? □ Yes □ No Any individual who: a) is under age 21, b) has an interest in another alcohol license, or c) is involved in law enforcement may not become a member owner; however, they may join as an associate member with the same responsibilities and privileges but not entitled to a vote.NEW MEMBER: DESIGNATED SHOPPER: (see reverse)Best phone: Name: Birth date: / / Birth date: / / Email: Email: Driver’s License State/Number Best phone: _ (You are agreeing to become part-owner of a business with a license to sell alcohol; therefore we must keep record of your birth date and DL#) How did you learn about joining the Co-op? □ Store/Cashier □ Friend/Family □ Co-op flier □ Other How long have you been shopping at the Co-op? □Less than 1 year □1 to 5 years □more than 5 yearsWhat made you decide to become a member owner? Ar