Close Membership or Change to Senior Member

Membership: Close Membership or Change to Senior Member

After completing this form, our membership coordinator will reply via email to confirm receipt of your request and verify your refund amount (if any). Refund checks are mailed four to six weeks from date of closing.

"*" indicates required fields

Name*

First Last

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of birth

Month

Day

Year

My member number is

If you don’t know your member number, please email [email protected] or visit the store so we can look it up for you.

Current Status*

I am currently a member-owner and want to close my membership

I am now a senior (age 62 or older) and want to keep my membership

I request a refund of my equity investment (select option)*

I want to receive an equity refund

I would like to donate my equity investment to the Farm Fund

Reason for closing membership

Moving Away

Becoming a Senior Member

Dissatisfied with Member Benefits

Dissatisfied with Staff or Store

Dissatisfied with Store Policy

Can’t Afford

Multiple Accounts

Other reason for closing membership

We’ll miss you! Please tell us why you are leaving.

Phone

This field is for validation purposes and should be left unchanged.

Downtown Store

Store Hours: 7 a.m. to 9 p.m.

1220 N Forest St
Bellingham, WA 98225

360-734-8158

Cordata Store

Store Hours: 7 a.m. to 9 p.m.

315 Westerly Rd
Bellingham, WA 98226

360-734-8158

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