2018 Cloverbelt Local Food Co-Op Registration

Thank you for your interest in becoming a member of Cloverbelt Local Food Co-Op. Cloverbelt Local Food Co-Op 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 Member Information Statement, and then complete the following information and click submit.

If you are already a member, please sign in here. Otherwise fill out the form below to become a member.

Required fields.

Section 1: Identifying Information
NOTE: The Preferred Invoice Name can be edited. It will be used to route your order and should be easily tracable to you (i.e. it should not be something like “Captain Cosmic”). It could be the common form of your name like “Alf Jones” instead of “Alfred Jones”. In some cases, you may want to use your Business Name for the Preferred Invoice Name.
Section 2: Contact Information
NOTE: Either a Home Phone or Mobile Phone number is required – not necessarily both.
Do Not Send Postal Mail.
Section 3: Access Credentials
Please enter the two food-related words to prove you are not a robot. CAPTCHA Image
Section 4: Select A Membership Type
Consumer Member
$25.00 for one share of common stock. Allows you to purchase items from the CLFC.
Producer Member
$50.00 for one share of producer stock. Allows you to sell items through the CLFC. (INCLUDES consumer member privileges.)
Organizational Member
Minimum $50.00 for one share of organizational stock. Gives your business a vote at CLFC general meetings.
Section 5: Additional Information
I acknowledge that I have read and understand the Cloverbelt Local Food Co-Op Member Information Statement.
I am interested in becoming a producer member for Cloverbelt Local Food Co-Op. Selecting this option will provide the opportunity to immediately fill out a producer application after submitting the membership form. Otherwise you can access the producer form from your member panel after you sign in.
I am interested in becoming a volunteer member for Cloverbelt Local Food Co-Op.