2010 Idaho's Bounty Food Co-op, Inc. Registration

Thank you for your interest in becoming a member of Idaho's Bounty Food Co-op, Inc.. Idaho's Bounty Food Co-op, Inc. customers and producers are interested in local foods and products produced with sustainable practices that preserve the cultural heritage, landscape, water, and air vital to a sustainable community. This form upon approval will register you to buy products within the Idaho’s Bounty Co-op. Please read the Subscription Agreement and then fill out and submit the form below.

If you are already a member, please sign in here. Otherwise fill out the form below to become a member.

Section 1: General Information
First Name: Last Name: First Name 2: Last Name 2:
Business Name: I am interested in becoming a producer member for Idaho's Bounty Food Co-op, Inc..
Section 2: Contact Information
Address: Address 2: City/State/Zip:   County: Do Not Send Postal Mail:
Work Address: Work Address 2: City/State/Zip:
Home Phone: Work Phone: Mobile Phone: FAX: Toll Free:
Email Address: Email Address 2: Home Page: http://
Section 3: Access Credentials
Username: Enter the word Human validation text Password: Confirm:
Section 4: Membership Type
Membership Type: Choose One Individual or family Producer, business, or other organization Free trial membership Individual or family One time fee of $75.00 Producer, business, or other organization One time fee of $100.00 Free trial membership After two orders you will be converted to a regular member.
Section 5: Additional Information
How you heard about Idaho's Bounty Food Co-op, Inc.: Choose One Newspaper article Magazine Online Friend or Family Flyer or Booth Other Please give more detail: What website, from whom, which publication/date, etc.?
YES! I‘m interested in volunteering to help Idaho's Bounty Food Co-op, Inc..
I acknowledge that I have read and understand the Idaho's Bounty Food Co-op, Inc. Subscription Agreement.