Thank you for your interest in purchasing membership stock in Centerra Co-op.

Below you will find a printable application for membership, a W-9 form, and a tax-exempt form.

• CENTERRA CO-OP MEMBERSHIP APPLICATION

• W-9 FORM

• TAX EXEMPTION FORM

Please complete ALL 3 FORMS and return with a check for $100.00 to payable to Centerra Co-op.

Mail to:

CENTERRA CO-OP

ATTN: ANDREA JENKINS

813 CLARK AVE.

ASHLAND, OH 44805

Upon receiving your application, it will be presented to the Board of Directors for approval.

Once approved, we will then issue your stock.

Again, thank you for your interest in becoming a member of Centerra Co-op, and we appreciate having you as a customer!

QUESTIONS?
For more information contact
Andrea Jenkins at 419-207-3661 or ajenkins@centerracoop.com