2008 Idaho's Bounty Coop Member-Producer Registration Thank you for your interest in becoming a producer member of Idaho's Bounty Coop, Inc., (IBC). Idaho's Bounty Co-op customers and producers are interested in local foods and products produced with sustainable practices that demonstrate good stewardship of the environment. This form upon approval will register you to both buy and sell products within the Idaho's Bounty Co-op. Acceptance depends on your practices meeting our preferred practices. Please read the Preferred Practices and the Subscription Agreement and then fill out and submit the form below. SECTION 1: GENERAL INFORMATION First Name: Last Name: First Name 2: Last Name 2: Producer ID: ** Business Name: ** Choose a unique 5-character Producer ID to represent your operation (letters or numbers). Address: Address 2: City: State: Zip: County: Home Phone: Cell Phone: Work Phone: E-mail: Website: http:// Select your Preferences here. You will be able to change these preferences from your member area later if necessary. Delivery Type: ---Choose a delivery type--- Pick Up Order Delivery to Home Address Delivery to Work Address Delivery Location: ---Choose a location--- Preferred Method of Payment: Check PayPal online Please choose a username and password which you will use to log in to the member pages. Your password must be at least 6 characters. Username: Password: Please confirm your password: SECTION 2: MEMBERSHIP FEES (Please download and read the available Preferred Practices before investing.) I/we hereby apply for producer membership in Idaho's Bounty Co-op and subscribe to purchase a common share on the following terms: $100 You can pay by PayPal or check. The information will be on the following page. How You Heard: Choose One Newspaper article Magazine Online Friend or Family Flyer or Booth Other If other, please specify: YES! I'm interested in volunteering to help Idaho's Bounty Co-op. SECTION 3: PRODUCTS & PRACTICES List what you intend to sell through IBC. (if applicable) (e.g. meats, grains, jellies, crafts; also note if you have any heritage breeds) I acknowledge that I have read and understand Idaho's Bounty's Subscription Agreement. Please enter this code in the box: **Please mail your membership fees check to: Idaho's Bounty Cooperative, P.O. Box 4617, Ketchum, ID 83340 or use the Paypal buttons on the next page. info@idahosbounty.org (208) 721-8074 Online Food Market - Join - Why Buy Local - Events - Resources - About Us