Online Membership Form

+ $2.91 online processing fee

To become a member of the Columbus Cooperative Grocery & Market, complete the form below. Once you've submitted your application you'll be redirected to PayPal to pay your one-time membership fee of $90.

We promise not sell or share your information with any other entity. The information you submit is secure, encrypted, and protected. This form is embedded in this website from a secure service called FormSmarts which uses SSL technology to pass your information securely to the web server. You can access this form directly instead of using the embedded form by clicking here.

Thank you for your support! And don't forget to tell others that you can submit your application and pay online via PayPal!