Membership Application

PLEASE NOTE: Applications for membership must be approved by CGIN before your account can be activated. You will receive an email from us within two business days regarding the status of your application.

Before completing this form, please read the Contact Person Guidelines.

1. Type of CGIN member (check one):

Member type: *

Retail member (avaliable for retail food co-ops that are members in good standing of NCGA or NCBA)

Associate member (available for wholesales, suppliers, organizations and individual professionals working with cooperatives)

2. Member information

NAME OF CO-OP OR ORGANIZATION: *

ADDRESS: *

CITY: *

STATE/PROVINCE: *

POSTAL CODE: *

CONTACT PERSON OR INDIVIDUAL MEMBER NAME: *

CONTACT JOB TITLE: *

PHONE: *

E-MAIL: *

3. CGIN listserve: The contact person from each member must be subscribed to the listserve.

Listserve registration: *

The above e-mail address is NOT YET SUBSCRIBED to the CGIN listserve

The above e-mail address is ALREADY SUBSCRIBED to the CGIN listserve

For instructions on subscribing to the CGIN listserve click here

4. Account set up and password.
Please be precise -- capital and small letters will be used as written

5. Eligibility: We are eligible to be a CGIN member based on our membership of: check the following organization(s) that apply

National Cooperative Grocers Association

National Cooperative Business Association

6. Payment

After filling it out, print this form and send with check made payable to CGIN, to:
Cooperative Grocer's Information Network, c/o Bella Waters, P.O. Box 339, Arcata, CA 95518

Payment Due: *

Retail member annual dues: $200

Associate member (organization) annual dues: $350

Associate member (individual) annual dues: $150

Member Agreement

By submitting this form, I certify that this organization is eligible to join the Cooperative Grocers' Information Network.

With this application, this organization agrees to abide by the bylaws and policies of CGIN, by decisions made at board and membership meetings, to support and uphold the purpose of the organization, to keep CGIN apprised of a current mailing address for the organization, and to pay CGIN the dues and fees set for all materials taken from CGIN sites.

We agree that materials obtained from the CGIN site will only be used for the benefit of the CGIN member co-op.

We agree to hold CGIN harmless for the use of materials gained through CGIN; we will consult our own legal or other professionals regarding use of materials obtained from the CGIN website.

Questions about this form? call CGIN at 707/445-4849 or email admin@cgin.coop

If you would prefer to fill out a hard copy and fax it in, download this pdf of the form (12K file), fill it out and fax it to CGIN at 866/910-0652.

CGIN

Membership Application

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