Member List Approval Form

Under the new Cooperatives Act governing the Calgary Co-operative Association Limited, any member of Calgary Co-op can request a copy of the member list (which would include only the names of members, without addresses or other member information). The Act allows members to have their names excluded from such a list.

* must be filled in.
Member Information
Member Number*
Member Name*
Email*
Address
Telephone
Question:

If you would like to have your name excluded from the member list, please mark the box below. If you do not check the box, your name will appear on the member list.

I hereby request that Calgary Co-op exclude my name from any and all membership lists requested by and provided to a member of Calgary Co-op.

Typing your name in the box below constitutes a legal signature for this document

Signature*
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Calgary Co-op is not responsible for undeliverable submissions.