Ownership Application Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Ownership Price: $100 *I am paying in full today. - $100.00I am paying half today. - $50.00I am paying in quarterly installments. - $25.00Ownership price is $100. You can pay in full today, or by installments. If you choose the installment plan, you will be billed $25 per quarter until paid in full, or you can make payments in the store at the register.Who will be the primary contact? *FirstLastAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Opt in to store newsletter (1 - 2 emails per month)Yes please!Make me a wallet sized card with my numberYesWe'll send you an email with your owner number once we process your application, which is usually within 48 hours.Thanks for choosing to become an owner! Your Ownership Share is a one-time fee. In addition to financial discounts, ownership entitles you to one vote in our board elections and the opportunity to run as a candidate. Ownership fees are refundable at any time by contacting the General Manager. Even if you are paying in installments, your benefits begin immediately and you have a full year to pay.I am applying to purchase one (1) Ownership Share in Chatham Marketplace Inc. under the policies and conditions stated in the co-ops Articles of Incorporation and Bylaws. (available for review at chathammarketplace.coop). Please note that the transaction must be completed through PayPal before receiving a confirmation.Please sign to indicate you understand the above statements * Clear Signature Total$0.00PayPal Commerce *PayPal CheckoutCredit CardCard NumberExpiration DateSecurity CodeCard Holder NameSubmit & Pay Hours Open DailyMon - Sat: 8 am - 8 pmSunday: 10 am - 6 pm Location 480 Hillsboro St,Pittsboro, NC 27312 Directions >