High Plains Food Coop

High Plains Food Coop Member Registration

Thank you for your interest in becoming a member of High Plains Food Coop. High Plains Food Coop customers and producers are interested in local foods and products produced with sustainable practices that demonstrate good stewardship of the environment. To become a member, please read the HPFC Standards, and then complete the following information and click submit.

SECTION 1: GENERAL INFORMATION
First Name:		Last Name:
First Name 2:		Last Name 2:
Business Name:
Address:		City:
State:		Zip:
County:		Phone:
E-mail:
Select your Preferences here. You will be able to change these preferences from your member area later if necessary.
Delivery Type:		Delivery Location:
Preferred Method of Payment:		Check PayPal online
Please choose a username and password which you will use to log in to the member pages.
Username:		Password:
Please confirm your password:
SECTION 2: MEMBERSHIP FEES (Please download and read the available Member Information Statement before investing.)
Charter Member: Purchase online with PayPal: $103.30 for one share of common stock — valid through July 1st or 100 members. Or receive cash/check discount: $100.00 for one share of common stock ($20.00 annual fee after first year) Voting Member: Purchase online with PayPal: $103.30 for one share of common stock — plus $20.91 annual fee. Or receive cash/check discount: $100.00 for one share of common stock — plus $20.00 annual fee. Non-voting Member: Purchase online with PayPal: $41.50 annual non-voting member fee. Or receive cash/check discount: $40.00 annual non-voting member fee.
How You Heard:		If other, please specify:
YES! I‘m interested in volunteering to help in the High Plains Food Cooperative.
I acknowledge that I have read and understand the High Plains Food Cooperative Member Information Statement.
Please enter this code in the box:

**Please mail your voting or non-voting membership fees check to:
High Plains Food Cooperative, 1678 US Hwy 36, St. Francis, KS 67756