Furlough Assistance for Members Application Please enable JavaScript in your browser to complete this form. - Step 1 of 2Name *FirstLastMember NumberI'm not a member yet!Sign me up for the 12 x $10 installment plan.Sign me up for the $55 + $50 2-installment plan.I'll make my $100 equity payment in full.Payment made in store.Email *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Upload a Picture of Your Employee ID * Click or drag a file to this area to upload. NextPlease note your understanding of and agreement to the following: *I understand that TPSS Co-op is offering me a store line of credit because I am a furloughed employee.I understand that I must repay this line of credit.I understand that I may repay this line of credit at any time.I agree to enter into a repayment plan within 30 days of the end of government shutdown.Typed Signature *Typing your name here indicates your intent to receive a line of credit from TPSS Co-op and your agreement to repay it.NameSubmit
