Membership Application - Business


If you have any questions please call 1.800.947.8816, option 2.


Direct Deposit: Forward copy of a void cheque or a completed direct deposit form from your banking institution via fax 519-262-231, mail to Hensall Co-op or deliver to a Hensall Co-op location, Attention: Membership.


Disclaimer: By completing this application you authorize and consent that Hensall District Co-Operative, Incorporated can release your information when required by the Co-Operative Corporations Act (section 120). 


If you prefer - we have a pdf form that can be completed and returned to us:


Business Membership Application





Designated voting representative
The name of the second principle within the company.
Full mailing address, including 911 municipal address, RR#, town/city, province and postal code.
Business Number





























The membership fee is a one-time fee.


By selecting "Agree" and submitting this form, you:
are signing this application electronically
agree your electronic signature is the legal equivalent of your manual signature, and
agree to the terms and conditions stated.