Membership form

This form is intended exclusively for auxiliary member registration. If you are an agricultural producer, please contact us by phone at 819-758-4770 to complete your registration.

Name(Required)

* First name : * Last name :

Client number (if applicable) :

Contact Information

* Street number(Required)

* Address(Required)

* City(Required)

* Postal code(Required)

* Phone :(Required)

Cell :

* Email :(Required)

Additionnal Information

* Profile :(Required)

* Consumer profile :(Required)

* Construction contractor profile :(Required)

* Commercial profile :(Required)

* Registered business name :(Required)

(including legal structure: Inc., partnership, sole proprietorship, etc.)

Business Number

(NEQ)

Your member number and the explanatory contract documents will be sent to you by mail.

The PARTICIPANT requests to become an auxiliary member of the Cooperative and states that, having understood the purpose for which the Cooperative was incorporated, they are able to participate as an auxiliary member.
With the signing of this letter, and as long as the participant is an auxiliary member of the COOPERATIVE, the MEMBER will:
1. Subscribe to and hold at all times five (5) “Preferred A” series qualifying shares with a par value of $20.00 each.
2. Pay these qualifying membership shares in accordance with the terms and conditions stipulated in the COOPERATIVE's bylaws, namely: $20.00, the balance being payable by declared rebates, or the full membership amount, which is $50.00.
3. Respect and fully comply, with all current and future by-laws, resolutions and decisions of the COOPERATIVE and its Board of Directors, the member declares to be bound by the law presently in force or, as the case may be, when decreed, as if the member had personally consented to it.
This contract is subject to approval by the Board of Directors of the COOPERATIVE.
Please note that if your account is inactive (no purchases) for a period of 10 years, the COOPERATIVE reserves the right to close your account which will be removed from active members. Your member share will then be transferred to a fund dedicated to agricultural succession and youth.
By signing this document, you authorize us to keep your personal information. Rest assured that we have implemented measures to protect Personal Information in accordance with the laws applicable in Quebec and Canada. To learn more about how we manage these laws, please contact us at vieprivee@vivaco.coop.
Your email will allow us to communicate important information to you as needed in addition to keeping you informed of our promotions and activities. Note that you can remove your address from the distribution list at any time.

Amount(Required)

20.00$

50.00$

Payment(Required)

Become a member

Membership form

Contact Information

Additionnal Information