JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Ranui Community Food Cooperative Membership Form
Low Cost Organic
Produce & Dry Goods
Membership Sign-up Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
First Name Surname
Your answer
*OK to announce your membership and contact details to other members? (this is helpful if you are working and want to be able to contact other members for shift trades, etc.)
*
Yes
No
Required
Email Address
*
Your answer
Telephone Numbers: Mobile
*
Please put in your mobile phone if you have one
Your answer
Telephone Numbers: Landline
*
Please put in your home or work landline
Your answer
Number, Street and Suburb
Your answer
Membership Type: Working. Non-working or Coordinator
*
*Working members volunteer 3 hours per month for a 10% discount, or 6 hours per week for a 15% discount on all items. Coordinators work three hour shifts and need to be trained
Working Member
Non-working Member
Coordinator
Required
$25 Payment Type: Transfer payment to Co-op Account #38-9000-0450483-000 or
*
All members pay a one off $25 joining fee
I will transfer my $25 membership fee into the Co-op account # 38-9000-0450483-000
I will post my $25 cheque to: Ranui Food Co-op, 26/457 Swanson Road, Ranui, Waitakere, 0612
I already paid by internet transfer
I already paid by cheque
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms