Name *

First Name

Last Name

Phone Number *

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Address

Address 1

Address 2

City

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Zip/Postal Code

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I am signing up to be a member owner of Co-op Power and the local Community Energy Co-op serving my region (if any) using the payment option indicated above. I am joining with other members to create a sustainable and just energy future in our region by pooling our capital, purchasing power, and voting power. I will make an effort to purchase energy through the Co-op when the price, quality, and service work for me. I will let Co-op Power know when it is meeting or exceeding my expectations and when I have suggestions. I will participate in my local Community Energy Co-op and Co-op Power membership meetings to build consensus on how to move our cooperative forward. I understand my equity share is not an investment that provides a return or dividend and that it will not appreciate in value. I understand that I cannot sell my membership and that I can only transfer it as a gift to a member of my immediate family. I agree to abide by the Co-op Power articles of incorporation, by-laws and membership rules found on www.cooppower.coop. I understand that if I don't provide Co-op Power with my current address for more than three consecutive years, my membership will be terminated and my equity donated to Co-op Power. I understand member equity is refundable if I cancel my membership. I understand that my equity can only be returned when the Co-op has the funds to do so. I understand my equity share entitles me to the benefits of membership in Co-op Power. I understand my membership entitles me to a vote in membership meetings and a share of the profits distributed to members based on their share of purchases. *

I agree

I cannot agree at this time

Date *

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