Manage Your Membership

Please include either a phone number or e-mail in case we have a question about your account update request. Thanks for updating!

* Required Field

Name:

Owner Number:

Email:

Phone:

Street Address:

City, State - Zip *


Please list people you would like to add as users of your account:

Please list all other current users of your account that you would like to remove:

Comments or Questions:

Name: *

Owner Number: *

Email:*


Do you want to receive your Central Co-op receipts by e-mail only? *
Yes        No


Sign me up to receive our quarterly print newsletter, the Central Register:
Yes  (leave blank if No)

Sign me up to receive our eNewsletter, the Central Beet:
Yes  (leave blank if No)

Thank you for being a member of Central Co-op! If you want to close your account, please submit this form, or stop by our Central Services desk. Closure is considered immediate upon receipt of your request. Please note that Central Co-op's Board reserves the right to withhold payment of equity refunds at their discretion. If the Board is currently authorizing refunds, checks are typically mailed 30-60 days after we receive a request to close an account.

Name: *

Owner Number: *

Email: *

Phone: *

Address you would like your check mailed to: *

City, State - Zip *

Reason for canceling your account:

Comments:


 I request that Central Co-op close my membership, effective immediately, and understand that Central Co-op’s Board reserves the right to withhold payment of equity refunds at their discretion. I also understand that it is my responsibility to keep a current address on file with the co-op in order to receive notification when Patronage Dividends are distributed.