Application Form

Membership Application

If you have ever been a member of Our Table Cooperative before, please check with our Membership Department before completing this application to see if your past membership is still active.
Remember, if you're looking to sign up for a "membership" to our Vegetable CSA subscription, you're in the wrong spot - please click here instead.

* Indicates required field

Name *

First

Last

E-mail address *

Phone Number *

Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

If you'd like to add a spouse or partner to your membership, please provide their name below.

Name of spouse or partner *

First

Last

If you were referred by a current Our Table member, we want to thank them for their referral. Please provide their full name below.

Name of referring member *

First

Last

I hereby apply for membership in Our Table Cooperative under the terms and conditions of consumer membership contained in the Articles of Incorporation, Bylaws and amendments thereto, and the regulations enacted by the Board of Directors.
I verify that I am over 18 years of age and agree that only persons living in my household will use this membership.

SUBMIT

After you press the "submit" button above, you will be directed to a payment page where you can pay for your membership share.