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Lifetime Membership – Payment Plan

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Lifetime Membership – Payment Plan

$10.00 / month for 10 months

Member-Owner Information and Agreement
First Name*
Last Name*
Email*
Phone*
Date of Birth
MM slash DD slash YYYY
Address Line 1*
Address Line 2
City*
State
Zip Code*
Quantity*
We are a one-member/one-vote organization. Each membership is tied to an individual and each individual may only have one membership.
Payment Options*
Employer Match*
If your employer offers a 50/50 Match, please select their name from the list below and enter your employee ID.
Employee ID*
Add Equity
Add additional equity in Gem City Market by contributing more than the minimum membership rate. Adding equity helps us get closer to our goal but does NOT increase the number of votes or patronage dividends.
Who did you hear about Gem City Market from?
Notes
or anything else you'd like to tell us...
May we welcome you publicly as a new community-owner?
- Yes
- No
Membership Agreement*
- By checking this box, I agree to the Community Membership and Subscription Agreement.

Lifetime Membership - Payment Plan quantity

Open 7-Days a week 7AM - 9PM 324 Salem Avenue

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(937) 741 - 3240 324 Salem Avenue
Dayton, OH

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Paid for by a generous contribution from The Dayton Foundation

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