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You can get a membership application in one of two ways here:
1. Download the PDF. You will need Acrobat reader to do this. Click Here to download the application. -or- 2. Copy and paste the form below into a text program and print it out. Complete and sign the form, attach a check or money order and send to PO Box 250, Dixon, NM 87527. Or bring the completed form and preferred method of payment right to the store. |
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Dixon Co-op Membership Application
Last Name (Primary Member)______________________First Name_________________________ Last Name (Secondary Member)____________________First Name_________________________ Last Name (Secondary Memeber)___________________First Name_________________________ Address_________________________________City______________________State___________ Home Phone____________________Email Address________________________Zip___________ 1. The Primary member owns the membership and is responsible for updating the address, phone # and for adding or deleting secondary member names. 2. We ask that you show your member card each time you make a purchase, so the cashier can verify your number and membership expiration date. Please read our policies and sign your name. 1. Membership is non-transferrable. 2. Members are entitled to: a) One (1) vote per membership in elections and proposals b) Profits are distributed in patron refunds or are reinvested in goods and services which benefit members. 3. There shall be no voting by proxy. 4. Through member activity, the Co-op exists and the member receives benefits of Co-op ownership. 5. Members must comply with all membership requirements (as stated in the policies of the Co-op and the laws under which it is incorporated. I understand this membership is subject to requirements as set forth in the articles and by-laws of the Co-op. I have been notified of such requirements. Signature (Primary Member)______________________________Date_______________________ Date of Birth______________________________ Fees: 1 year-$25.00 Lifetime - $200.00 Senior - $20.00 Thank you for becoming a member! |
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