Membership Equity Refund Request Form

Please note: Rivers Co-op Markets bylaws only allow equity refunds once membership is paid in full. If using the payment plan option, please complete all payments of $25 before requesting an equity refund. LIME memberships must have full $90 equity paid before requesting a refund. If requesting a refund in the event of a member-owner’s death, the executor of the estate or beneficiary may complete this form. This request will be presented at the next Board of Directors Meeting for approval. Depending on their meeting schedule, it can take up to 7 weeks to receive your refund.

Membership Type(Required)
Stockholder's Name(Required)
If you do not have your member-owner number, please call us at 651-310-9499 and we can look it up for you.
Mailing Address(Required)
Make sure you enter the correct address for 6-8 weeks from now if you are moving.
I understand that providing an incorrect address may result in a check cancellation fee.(Required)
Signature(Required)
Date(Required)