Member-Owner ApplicationPlease enable JavaScript in your browser to complete this form.Name *FirstLastAdditional Household Members NamesStreet Address including city, state and zipPhoneEmail *Check any that apply:I would like to opt-in to e-receipts to receive my receipts via email.I am 65 years old or over and qualify for the 5% senior discount.Payment Plan - Select One: *One Installment: $100Two Installments: $50Ten Installments: $10I understand that by typing my name below and making a capital investment payment, either in full or in part, I am becoming a member-owner of TPSS Co-op. I also understand that being a member-owner in good standing entitles me to the rights and benefits extended under the TPSS Co-op Bylaws and that my investment is refundable. If I fail to make payments toward my required capital investment, I understand that my rights and benefits may be suspended and my member-ownership may be terminated.Type your full name here.Anything else you'd like us to know?CommentSubmit
