1. The Applicant has received and reviewed the Bylaws of the Empowery eCommerce Cooperative, Inc. (the “Co-Op”), as well as the Management Agreement for the Co-Op with Duvall Cooperative Management.

2. Shares of ownership of Empowery eCommerce Cooperative, Inc. (“Empowery Stock”) are restricted and may not be transferred, in accordance with the Bylaws.

3. Admission to the Co-op is subject to the purchase of one share of Empowery Stock and approval by the applicant by the Co-Op.

4. The applicant will not be granted membership in the Co-Op unless and until the applicant is approved by the Co-Op, purchase one share of Empowery Stock and pays all applicable fees required for such purchase/membership. 

5. This application may be rescinded by the applicant for up to 14 days after the date submitted.

6. Applicant will pay an Application Fee of: $1,000.00USD. The Application Fee compensates the Co-Op for its efforts to evaluate the Applicant’s potential membership in the Co-Op.  Applicant authorizes the Co-Op to charge the Application Fee to the credit card on the credit card processing form attached.  If the Applicant is denied as a potential member, the Co-Op will refund $1000.00USD of the Application Fee.  Any remainder is non-refundable.

7. Applicant authorizes the Co-Op to obtain and review its credit report/background, criminal background and or Amazon or other internet sales platform’s report through any agency chosen by the Co-Op, and understand the Co-Op intends to use such information for purposes of evaluating if the Applicant will be granted an opportunity to become a member of the Co-Op.  Applicant’s signature below authorizes the release of credit, financial or criminal background information that Applicant has supplied in connection with this application and rather grants the credit reporting agencies the right to copy this for to obtain information from any credit reporting, financial reporting or criminal background reporting or internet sales platform company.  Applicant’s consent to this disclosure may be revoked by sending written notice to the Co-Op at the address above.