Applicant's full legal name

Mailing address

Application and Acknowledgements

I hereby apply for Membership of the Co-operative and acknowledge and warrant that:

1. If accepted as a member of the Co-operative I will be bound by contract to the Co-operative’s Rules.
2. I had the right to request to either inspect at the Co-operative’s office, or be sent -
   1. a consolidated copy of the rules of the Co-operatives; and
   2. a copy of all special resolutions applicable to members and passed at a members meeting since the last AGM or the Co-operative, except special resolutions providing for an alteration to the rules of the Co-operative; and
   3. a copy of the most recent financial information reported to Member under the Co-operatives Act 2009 (WA) as amended.
3. I meet the prerequisite requirements for membership of the Co-operative.
4. I am required to subscribe for at least one ordinary share in the capital of the Co-operative.
5. Subscription fee for one ordinary share is $1,750 comprised of $50.00 nominal value plus $1,700.00 share premium.
6. The Co-operative makes no warranty or representation regarding the benefits of membership.
7. This application is based on my own assessment of benefits expected to be derive from Co-operative membership.
8. The above email address is provided for the purpose of receiving communication from the Co-operative.
9. If accepted as a Member I will ensure the Co-operative has a current email address for member communications.
10. Co-operative is not required to give any reason should this application be declined.
11. If this application is not accepted for any reason a full refund will be made without interest and without deduction.