Niagara Local Food Co-Operative

Join the Niagara Local Food Cooperative

To join online fill out the form below. To make your payment by credit card or e-check, use the PayPal button provided on the next page. To join by regular mail, print this form, fill it out, and send it with your payment to:

Linda Grimo
1-7001 Casey St.
Niagara Falls, Ontario L2J 3G6

First Name:		Last Name:
First Name 2:		Last Name 2:
Business Name:
Address:		City:
State:	ON	Postal Code:
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:		PayPal online
Membership Share: I will send my membership payment of $50 by mail. I will pay or have paid my full membership fee online.
How You Heard:		If other, please specify:
I am interested in becoming a producer member, tell me more.
Please choose a username and password which you will use to log in to the member pages. Your password must be at least 6 characters long.
Username:		Password:
Please confirm your password:
Please enter this code in the box:

You will be able to log in once the Membership Chair has activated your membership. It may take a few days to activate your membership. Memberships will activated once payment is received. Checks may take 7 - 10 days to be received in the mail.

Membership in the Food Cooperative: $52.50
We give a $2.50 discount if you pay by check. Check membership fee: $50.00
You will find more information on how to pay with Paypal or by check on the next page.

If you have any questions about this form or about the Niagara Local Food Cooperative in general, please email us at info@niagaralocalfoodcoop.ca