Become an Owner

Owner 2455 Monica

Become an Owner by filling out the online application below and purchasing your share with a valid credit card. If you prefer, you can click here to print the Owner application and mail it with a check to the address on the form, or just stop in and join at our customer service desk. Remember, the more Owners, the stronger and more sustainable our Co-op. Join today!

Contact Information
Owner Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email Address*
Additional Card Users
I authorize the following individuals from my household to shop with my Owner card. Their purchases will count towards determining my Patronage Rebate. They will not have voting rights. (Please enter one name (first and last) per line)
How did you hear about the Co-op?
- Social media
- Event/Table
- Website
- Family/Friend
Permissions & Volunteering
Owner Promotional Material*
I give permission for the cooperative to list my name and town as an Owner in promotional material, including on Facebook and on their website.
Electronic Communication*
The cooperative may send official correspondence to me electronically.
Volunteering*
I want to learn more about how I can help. Please contact me about volunteering.
Agreement
Please Read and Sign below:
1. Only those Members who have paid in full will have voting rights and access to the Patronage Rebate program.
2. Membership and the rights of Membership are subject to the By-laws of the Cooperative, as they may be amended from time to time. I agree to be bound by such By-laws. I may access an up-to-date copy of the By-laws at www.assabetvillage.coop and may also receive a paper copy on request.
3. Member shares are not transferable. While Member equity is refundable, it is at the discretion of the Board of Directors.
4. I understand that, as with any start-up enterprise, Member equity is subject to risk, including the risk of loss. Member equity is subordinate to all other debts of the Cooperative.
Signature*
Please sign by entering your name below (I am 18 years or older):
Payment
Payment Method*
You can pay the $200 equity share online with a credit card (note that you will have to pay an online convenience fee in addition to the cost of your equity share). You can also write a check and send it to:

Assabet Co-op Market
 54 Main St., Suite 205
 Maynard, MA 01754

Optionally, we also offer a $25/month payment plan. If you’d like to discuss another option, please contact us.
Online Convenience Fee (Full Share)
Price:
Online Convenience Fee (Installment Plan)
Price:
Total (including online processing fee)
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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Owner Benefits

Co-op Member-Owners purchase a one-time share for $200 (no annual fee, payable in $25 installments) and receive awesome benefits:

In profitable years, owners receive an annual dividend ($)
You get a free small hot coffee every day from 8-10am
You can order products in bulk (by the case) for a 10% discount
You get owner discounts on co-op classes
You get a say in our products, programs, and classes
You get a vote in our board leadership and the opportunity to serve on the board
You get a grocery store that sources from local farms and producers, pays good wages with benefits, reduces our food’s carbon footprint, increases access to healthy food for all, and builds a thriving local economy

Become an Owner

Contact Information

Permissions & Volunteering

Agreement

Payment

Owner Benefits