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    Australia's largest retail co-operative Australia's largest retail co-operative Australia's largest retail co-operative Australia's largest retail co-operative
    • MEMBERSHIP
    • ABOUT US
      • About Barossa Co-op
      • Store Catalogues
      • Governance
        • The Board
        • The Executive
        • Members Advisory Group
        • Reports & Financials
      • Barossa Central
      • Our History
    • COMMUNITY
      • Celebrating 80 Years at Barossa Co-op
      • Partnerships
      • Sponsorships & Donations
        • Sponsorships
        • Current Sponsorships
        • Community Choice
        • Community Choice Results
        • Community Choice Recipients
      • Cultural
      • Economic
      • Environment
      • Wellbeing
    • OUR BUSINESSES
      • Barossa Betta
        • Weber Club
      • Barossa Fresh
        • Barossa Fresh Online
        • Barossa Fresh Platters
      • Fresh Cafe
      • Barossa Lifestyle
      • Barossa Mitre 10
      • Barossa Toyworld
      • Barossa Workwear
      • INTERSPORT Barossa
        • INTERSPORT Shop Online
      • The Design Studio
    • NEWS AND EVENTS
      • Current Competitions
    • CAREERS

    Online Membership Application

    Home / Online Membership Application

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    Type of Membership

    Type of Membership(Required)

    Corporation Details

    Corporate Representative Details(Required)
    A corporation must not appoint a person to represent the corporation if that person is currently a member of the Co-operative or a representative of another corporation.
    Postal Address(Required)

    Contact Details

    Individual Applicant’s Name:(Required)
    Date of Birth(Required)
    Postal Address(Required)

    Contact Email Address

    Terms & Conditions

    Tax File Number (TFN)
    Whilst there is no obligation to provide your TFN, if you do not provide one, tax will be withheld from your interest payments
    at the top marginal tax rate plus the Medicare Levy. The tax withheld and any interest paid will be reported to the Australian
    Taxation Office (ATO).

    The Community Co-operative Store (Nuriootpa) Limited declares that your TFN will be filed confidentially and will not be
    provided to any third party except for the ATO.

    Terms and Conditions:(Required)
    The Community Co-operative Store (Nuriootpa) Limited will send you information and marketing it considers may be of
    interest to you. You may contact us at any time if you decide that you no longer wish to receive this information. To view
    our Privacy Policy visit https://barossa.coop/privacy-policy/
    Annual General Meeting:

    Share Capital & Membership Card

    Membership Card(Required)
    How would you like to recieve your membership card?

    Online Card Payment(Required)
    MasterCard
    Visa
    Supported Credit Cards: MasterCard, Visa
    Expiration Date
     

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    The Barossa Co-op acknowledges the Ngadjuri, Peramangk and Kaurna people and their ancestral connection to the land and pays respects to Elders past, present and emerging.