Owner Application – SunCoast Market Co-op

Are you joining as a Household or Business?^*

Business Name (if applicable)

Owner Information

First Name^*

Last Name^*

Address

Address Line 1

City ^*

State or Region ^*

Zip ^*

Phone Number^*

Email^*

I authorize the following individuals from my household/organization to shop on my owner card: (must be in your household and authorized individuals do not have voting rights)

If you were gifted this ownership, please state who gave it to you:

You have an option to pay for someone's ownership. In order to track it, we need the gift givers name.

Payment Information

Your ownership cost is $200. If you pay in full with a credit/debit card or PayPal today, we ask that you cover our service fee. Our installment plan is $10.85 a month as it includes a mandatory service fee. There will be 20 automatic payments total. There are no refunds.

Payment Type Choice

If you choose check/cash or a payment plan, you will be directed to a payment information page after submission and will receive an email with instructions for how to pay.

If you are paying by credit/debit or PayPal, select your option (leave blank for installment plans or gifts):

Full Payment (cover our processing fee) ($ 207)
Full Payment (without processing fee--cash or checks) ($ 200)
Full Ownership Assistance Program Payment (must have applied and been accepted) ($ 100)

For each $200 share electronic payment, we pay a $7 processing fee. You can choose to pay this fee, or opt out. Our $10 a month plan will include a $17 service fee.

You may choose to purchase additional shares to support the store financially. You will not receive additional votes or dividends/returns. Max 8 additional shares allowed. No payment plan for extra share purchases.

This is an optional choice. You may choose to purchase additional shares to support the store financially. You will not receive additional votes or dividends/returns. Max of 8 extra shares allowed. You can not add additional shares to a payment plan.

Owner Agreements

Please check the boxes below:^*

I acknowledge receipt of a copy of the Cooperative’s Ownership Disclosure: https://tinyurl.com/y4wwtw6e
I agree to receive ballot materials and official correspondence by email

Ownership Terms^*

I hereby apply for ownership status in the SunCoast Co-Op Market
I understand that additional persons (listed above) in my household may use my Co-Op account and do not have voting rights
I certify I am 18 years of age or older

By typing your name below you are submitting an electronic signature indicating your agreement to become a SunCoast Co-op Market owner. If you would like to submit a written, signed copy, please email us for a printable application.^*

Other Helpful Information

All owners can receive a free yard sign to help promote the store. Would you like a yard sign?

Yes
No
I would like a sign for my business instead

Can we announce that you are an owner in our marketing materials and/or website? This will be one part of our promotion campaign.^*

If you heard about us from another owner, please share their name so we can thank them!

Would you like to volunteer?

Yes
No
Possibly

We have options from simple to committed!

Check Out

Stripe= Full Payment with Credit or Debit Cards. Offline= Cash/Check/Installment Plan/Gifts--you will be directed to a detailed payment information page after you submit your application.

Select a payment method^*

Pay Offline

Join Suncoast market co-op

Owner Information

Payment Information

Owner Agreements

Other Helpful Information

Check Out