Member Update Form

Primary Member Information

Name*

First Middle Last

Preferred First Name

First

Member ID #:*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email*

By providing your email address you agree to receive communications related to your membership including but not limited to but including The Membership Package & E-news. You may unsubscribe or change your email address for email communications at any time by following the instructions mentioned prominently within each email communications.

The Co-op uses email as the primary means of communication with members. However, our bylaws allow members to opt-in to mailed notices of governance issues and special membership meetings. Would you like to opt-in to mailed notices?

No thank you. Email notices are fine with me.
Yes, please mail notices to my home.

Do you need to update your Household Member Information?

Yes
No

Step 1 of 4

Primary Member Information