Online Member Application | Weavers Way Coop

Welcome to our Membership Application page. By completing this short application and making your first equity payment, you can become a member of the Co-op immediately, which will make you eligible for member discounts and rebates. When you submit this application form (by clicking the "Submit Application" button below), you will be forwarded to an online credit card payment page so that you can make your first equity payment. When that process is complete, you will be returned to this site and you will be able to log in with your new username and password.

Equity Payment

Our current minimum annual member equity payment is $30.00. However, you are free to pay more if you like, up to our current full investment level of $400.00. Once you are fully invested, your household will not need to make any more equity payments.

Household & Billing Information

Please supply your name and your household's address. You will be set up as the Primary Member for this household. Please supply alternate billing information if necessary. It must match what appears on your monthly credit card statement and you will not have another chance to modify it.

Primary Cooperator / Household Information First Name Last Name Address Address (cont.) City State Zip Phone Email Date of Birth

Billing Address (supply only if different) First Name Last Name Address Address (cont.) City State Zip Phone Email Date of Birth

Please list all additional members of your household (including children 16 and under) 1. First Last Date of Birth Phone Email

2. First Last Date of Birth Phone Email

3. First Last Date of Birth Phone Email

4. First Last Date of Birth Phone Email

Beneficiary Information

In the event of the Primary Member's death, a household's equity will pass to the next adult in the household. If there are no other adults in the household, equity will pass to the designated beneficiary. While having a beneficiary is not required, it is recommended. If you choose, you may designate Food Moxie, our non-profit arm, as your household's beneficiary, by specifying "Food Moxie" in the Name of Beneficiary field below.

Name of Beneficiary Relationship Address City State Zip Phone

Payment

You can pay as little as $30 each year, or you can pay in larger installments.
If you add $400 to your equity account, we will credit $100 to your EasyPay account through our Together We Grow Equity Campaign.
Every member is eligible. Whether you have $30 in equity or $400 or more, investing another $400 gets you the $100 credit. As a cooperative enterprise, we depend upon member economic participation. Member equity is critical to our success. It provides valuable business capital that is invested in all aspects of our operations.

Equity Amount

$400.00 $200.00 $100.00 $60.00 $30.00

Limit one Together We Grow Equity Campaign offer per member household. The $400 in equity must be kept in the Co-op for 5 years. If I should leave the Co-op prior to that time and request my equity back, I understand I will receive my equity balance less the $100 Together We Grow promotion.
I understand and agree with the terms above.