Free Range Food Co-op Ownership Application Form

Free Range Food Co-op

Payment Plan Payment
PAYMENT PLAN PAYMENT

Please use this form to pay all of part of the remaining balance of your membership application, if you have already submitted an membership application with an initial payment of $25 or greater.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Contact Phone Number*

Area CodePhone Number
PAYMENT DETAILS

As with any investment, your ownership share is subject to risk. If the Co-op is unsuccessful, the Board of Directors will determine the distribution of remaining assets. In this unlikely event, every effort will be made to refund the paid portion of your owner equity share.

Upon choosing a payment option, you will be directed to PayPal to complete your transaction. An administrative fee will be added to each transaction when paying by credit or debit card ($1 fee per $25 payment)

If you would prefer to pay by check, you can mail it to PO Box 842, Grand Rapids, MN 55744.

All payment plans must be paid in full within one year. You will receive invoices from the co-op by email. Please provide a valid email address for invoicing and other important communication from the co-op.
PAYMENT OPTIONS*
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$75 Three Quarters Equity Share(plus $3.22 administrative fee)$78.22

$50 Half Equity Share (plus $2.32 administrative fee)$52.32

$25 Quarter Equity Share (plus $1.41 administrative fee)$26.41

Total $0.00
Can we contact you to about volunteer opportunities with FRFC?*

Yes to planning or outreach team (more commitment)Yes to volunteering at events (less commitment)No, thank you
Questions or comments.
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