Membership Application COOC Membership First Joined Account Information Trade Name/DBA * As will be displayed on COOC website Legal Business Name If Applicable or different from Trade Name/DBA Primary Representative First Name * This should be the primary contact person for the COOC Primary Representative Last Name * Primary Representative Title Primary Phone * Mobile Phone Fax Website Enter website url (including http:// or https://) Member Email * This email will also act as the member username for the COOC website; all representatives should know this username Primary Representative Email If different from the Member Email Company Email for Consumers Will be listed on Meet the Members page Facebook Enter Facebook url including https://www.facebook.com/ Instagram Enter Instagram url including https://www.instagram.com/ Password * Enter Password - All representatives should know this password Confirm Password * Confirm Password Additional Contacts These should be individuals that will be in regular contact with COOC staff, i.e. marketing contact, sales contact, milling contact, etc. (Do not list the primary representative below) First Name Last Name Title Phone Email Add Remove E-Communications Other than the representatives listed above, please list any individuals who should receive our e-communications, including the OLEA Newsletter and e-blasts about events and opportunities. These individuals will only be added to out internal contact list and will not be listed on the COOC website First Name Last Name Email Address Add Remove If you are human, leave this field blank.
