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I ask to be admitted as a member of the Coopérative de solidarité du Suroît-CSUR which mission is to exploit a business in order to provide work to its workers and a goods and services in :
a. Collective start-up initiatives
b. Telecommunications
c. Any other similar activities
I declare that I am able to participate to the best of my competencies, interests and availabilities to the mission for which the Coop is constituted.
I commit to respect the rules, values and principles of the Coop.
I subscribe voluntarily 1 social part of 10$ for qualification to the Coop. This amount will be included in my first annual fee on my first invoice.
I understand that I will become a co-owner, as an individual, of this social part and that it is my duty to ask for reimbursement or transfer to someone else with written notice to the administration council.
First Name
Last Name
Your email address
Telephone
Please select a sector if you want to take advantage of the home deliveries.
Sector
--- Please Select ---
The urban sector: Vaudreuil-Dorion, l’Île Perrot
The waterfront sector: Coteau-du-Lac, Salaberry de Valleyfield, Rivière-Beaudette
The plain: St-Polycarpe, St-Clet, St-Lazare
The West sector: Très-Saint-Rédempteur, Hudson
In which age group do you belong ?
18-29 years old
30-49 years old
50-69 years old
70 ans years old or more
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Customer Group
Marché écolocal
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I have read and agree to all the condition listed above
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