Do you consider yourself an active Fort Collins Food Cooperative Member Owner?

If you consider yourself an active member owner, please fill out the form below. If not, please select "No" and fill our your name and e-mail address so we can remove your member owner status from our database.

Yes - I am an active member owner

No - I am not an active member-owner and would like my personally identifying information deleted from your database

Name *

First Name

Last Name

Current Cell Phone Number

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Address

Address 1

Address 2

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