2007 Wichita Food Co-op Member Registration

Thank you for your interest in becoming a member of Wichita Food Co-op. Wichita Food Co-op customers and producers are interested in local foods and products produced with sustainable practices that demonstrate good stewardship of the environment. To become a member, please read the Articles of Incorporation and By-Laws, and then complete the following information and click submit.
SECTION 1: GENERAL INFORMATION
First Name: Last Name:
First Name 2: Last Name 2:
Business Name:
Address: City:
State: Zip:
County: Phone:
E-mail:
Please choose a unique 3-letter username and a password which you will use to log in to the member pages.
Username: Password:
Please confirm your password:
SECTION 2: MEMBERSHIP FEES
(Please read the Articles of Incorporation and By-Laws before investing.)
Membership fees are $50.00 Please mail your membership check to: Wichita Food Cooperative, 925 N. Waco, Wichita, KS 67203
How You Heard:
If other, please specify:
YES! I’m interested in volunteering to help in the Wichita Food Cooperative.
I confirm that I have read the Articles of Incorporation and By-Laws for Wichita Food Cooperative and have satisfied myself as to the provisions set forth therein.
Please type this text into the box below.

**Please mail your voting or non-voting membership fees check to:
Wichita Food Cooperative, 925 Waco, Wichita, KS 67203



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