Member Share Purchase

New or Renewing Member *

New Member
Renewal

Please allow up to 3 days for your membership to be processed

Member Number

Last five digits on the back of your Member card. Don't know your member number? Contact us at membership@middlebury.coop

Not sure when you need to renew? Contact us at membership@middlebury.coop

Is This Membership For Someone Else?

This Membership Is For Someone Else

First Name *

Last Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

E.G 123-456-7890

Email Address *

For Co-op Newsletter and Online Voting

Date of Birth

For Senior Discount Eligibility

After you click Submit, you will automatically be taken to Paypal to complete your transaction. Your share purchase will not be recorded until the Paypal transaction is complete. Thank you!

Order Overview

Member Share Purchase