Membership Application COOC Membership If you are human, leave this field blank. First Joined Account Information Trade Name/DBA * As should be displayed on COOC website Legal Business Name If Applicable First Name * This should be the primary contact for the COOC Last Name * Title Email Address * The email address provided will also be the username and member login for your online COOC account. Consumer Contact Email This should be your company's general/consumer contact email; i.e. info@, contact@ Primary Number * Mobile Number Fax Number Website Enter website url (including http:// or https://) Facebook Enter Facebook url including https://www.facebook.com/ Instagram Enter Instagram url including https://www.instagram.com/ Password * Enter Password Confirm Password * Confirm Password Additional Contacts If applicable, these should be individuals that will be in regular contact with COOC staff and consumers in efforts of the COOC mission, i.e. contacts in marketing, sales, milling, etc. First Name Last Name Title Phone Email Add Remove E-Communications List any other individuals from your organization that should be receiving our e-communications, including the OLEA Newsletter and e-blasts about events and other opportunities available to members. These individuals will only be added to our internal contact list and will not be listed on the COOC website. First Name Last Name Email Address Add Remove
