Application FormContact InformationFirst Name *Last Name *Phone *Email Address *Street Address *CityState/ProvinceZIP / Postal codeConsent * I/we consent to the use of the above email address as the address for services of notices about your co-operative. I/we hereby apply for membership of the co-operative. I/we have read the disclosure statement and the rules of the co-operative and agree to be bound by the rules. I/we apply to purchase a minimum of 5000 shares in the co-operative at $1.00 per share. I/we agree to an additional payment of $100.00 application fee. Your farm business outlook; are you expecting to grow or decline? *0 / 500Milk Supply DataVolume (Litres)July (Litres) *August (Litres) *September (Litres) *October (Litres) *November (Litres) *December (Litres) *January (Litres) *February (Litres) *March (Litres) *April (Litres) *May (Litres) *June (Litres) *Fat Test (Kilograms)July (Kg) *August (Kg) *September (Kg) *October (Kg) *November (Kg) *December (Kg) *January (Kg) *February (Kg) *March (Kg) *April (Kg) *May (Kg) *June (Kg) *Protein Test (Kilograms)July (Kg) *August (Kg) *September (Kg) *October (Kg) *November (Kg) *December (Kg) *January (Kg) *February (Kg) *March (Kg) *April (Kg) *May (Kg) *June (Kg) *BMCC (Average)July *August *September *October *November *December *January *February *March *April *May *June *Additional Comments0 / 500Yearly TotalTotal – Volume (Litres)Total – Fat Test (Kilograms)Total – Protein Test (Kilograms)Total – BMCC (Average)Submit
