Bulk Buying Club Best Practices Toolkit - The Food Security Network ...

Appendix D: Sample Membership Application
Adapted with permission from the Level Best Bulk Food Buying Program, Brighter Futures
(note that this form is for a Bulk Buying Club with sponsorship from another organization)
Date: ___________ Site: ____________ Coordinator: ___________________________
Name: ______________________ Address: ______________________________________
Phone: ____________ E-Mail: _____________________ Other Numbers: ___________
(Please initial each statement below regarding membership privileges and
expectations.) I understand that:
____ The purpose of the Bulk Buying Club is to assist families in buying
vegetables, fruit, meat and alternatives, and other items which contribute to the
families‟ over-all health and well-being.
____ An initial $5.00 membership fee is required and is not refundable.
____ Each member will work with the coordinator to develop an individual
family profile, which provides information about the family‟s food preferences
for the purpose of buying as a group.
____ The family will pay $15.00 per month in advance of when the shopping is
expected to take place. This will be matched with $15.00 monthly stipend from
the Bulk Buying Club for a total of $30.00 per month, which can be used to
purchase items in bulk.
___ If the family is unable to put in their full $15.00, the Bulk Buying Club will
match the amount put in by the family. The Program does not loan money or
put in more money than the family.
____ The Bulk Buying Club is designed to provide the most food to the most
families at the best cost. It may not be feasible to provide some of the items an
individual family requests.
____ Each family is expected to attend monthly meetings, help with shopping
and share information about sales, recipes and other things to help members
get the most for their money.
_____ A family may resign from the Bulk Buying Club at any time.
_____ Every six months members will participate in a formal evaluation session to
provide feedback on how the Food Buying Program can be improved.
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