Member-owner Application I hereby apply for ownership in Hillsboro Food Co-op. As an owner, I agree to abide by the Bylaws of Hillsboro Food Co-op. First Name: Last Name: Address: Apt. #: City: State: Zip Code: Phone: Email: I do not have access to email. Please send information to me via postal service. Please list all other adults (i.e., over 18) in your household: (Optional) Which Co-op member-owner referred you to Hillsboro Food Co-op? (Optional) What motivated you to join the Co-op today? Payment Options: Full Investment: $200.00Monthly Installments: $20 each month for 10 months + $10 processing fee due with first paymentQuarterly Installments: $20 each calendar quarter for 2.5 years + $10 processing fee due with first payment Please select your payment amount for today. If you want 100% of your share to go to the Co-op, you may choose to cover the PayPal fees. Select an optionFull Investment - $200.00 Due NowFull Investment and I will cover the PayPal fees - $206.30 Due NowMonthly or Quarterly Installments - $30.00 Due NowMonthly or Quarterly Installments and I will cover the PayPal fees - $31.25 Due Now It is the member-owner's responsibility to provide Hillsboro Food Co-op with a current mailing address should the above information change. As with any investment, your ownership share is subject to risk. If the Co-op is unsuccessful, the Board of Directors will determine distribution of remaining assets. Every effort will be made to refund the paid portion of your member-owner equity share. Please do not include my name on the Hillsboro Food Co-op website or any promotional materials.