Personal Member (Non-Credit)
Personal Member (With Credit)
Business Membership (Non-Credit)
Business Membership (With Credit)
RETAIN A COPY OF THIS APPLICATION (YOU CAN DOWNLOAD AFTER FORM SUBMISSION FROM THE NEXT PAGE). IT CONTAINS THE TERMS AND CONDITIONS THAT WILL GOVERN THE RIGHTS OF THE PARTIES.
IN CASE OF ERRORS OR INQUIRIES ABOUT YOUR BILL
The undersigned does hereby consent to take any qualified written notices of allocations of patronage refunds issued by Door County with respect to all patronage of the undersigned distribute with the association occurring during the current and all subsequent taxable years of the association, into account at their stated dollars amounts, for income tax purposes, in the year in which any such qualified written notices of allocations are received by the undersigned.
I agree that the following terms will govern any purchases made which are charged to any account that I may have with: Door County Cooperative.
NOTICE TO MARRIED APPLICANTS: No provision of any marital property agreement, unilateral statement under s.766.59, Wis. Stats., or court decree under s.766.70 adversely affects the interest of the creditor unless the creditor, prior to the time the credit is granted or an open-end credit plan is entered into, is furnished a copy of the agreement, statement or decree of has actual knowledge of the adverse provision.
BY THE SIGNATURE BELOW, APPLICANT STATES THAT IT HAS READ, UNDERSTANDS, AND AGREES TO THE TERMS AND CONDITIONS SET FORTH HEREIN AND FURTHER CERTIFIES THAT ALL OF THE INFORMATION CONTAINED IN THE APPLICATION AND ANY ATTACHMENTS IS TRUE AND CORRECT TO THE BEST OF THEIR INFORMATION, KNOWLEDGE, AND BELIEF AND FURTHER CERTIFIES THAT HE/SHE IS AUTHORIZED TO EXECUTE THIS APPLICATION ON BEHALF OF APPLICANT.
APPLICANT SHOULD RETAIN A COPY OF THIS APPLICATION (YOU CAN DOWNLOAD AFTER FORM SUBMISSION FROM THE NEXT PAGE) AS IT CONTAINS THE TERMS AND CONDITIONS THAT WILL GOVERN THE RIGHTS OF THE PARTIES SHOULD CREDIT BE EXTENDED.
PERSONAL GUARANTEE – FOR BUSINESS ENTITY APPLICANTS