Donate your Patronage Dividend

Thank you for giving back to your community. To donate your patronage refund, complete the form below.

This year, the Co-op is providing the option of donating your dividend return to the Ashland Emergency Food Bank.

Owner Number

First Name

Last Name

Email Address

Confirm your donation

Check this box to confirm the donation of your full dividend.
If you wish to donate only a portion of your dividend, please ask a cashier at your next visit in store.

Please consult with your tax advisor on the deductibility of your donation and keep your receipt. If you donate via our web form, please allow 1-2 weeks for processing. You will receive an emailed receipt. Please check your spam folder if you do not see it.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.