Business Account Application
Business accounts do not extend all Owner benefits to the business. Businesses are not eligible to attend our Annual Meeting, to receive perks passes to Madison summer festivals, to participate in the organization by serving on committees or running for the Board of Directors, or to enroll in our Access Program to receive 10% off everyday purchases due to the need for financial assistance. Please contact customer service if your business is a nonprofit or cooperative that would like to invest in a Co-op Ownership. Businesses may not make payments for purchases using a FoodShare (EBT/QUEST) card or a WIC card.
Business Name:
Authorizing Business Agent:
Additional Business Agent (optional):
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business FEIN:
Phone Number
Please enter a valid phone number.
Email
example@example.com
Would you like receipts to be emailed to the above address? You may still receive a printed receipt at checkout.
Yes
No
Would you like to receive our monthly newsletter by email or mail?
Email
Mail
Signature
Today's Date:
-
Month
-
Day
Year
Date
Submit
Should be Empty: