Change or Update Membership Information

Name*

First Last

Co-op Number*

Partial SIN

Middle 3 digits

Birth Month and Date

Partial SIN and Birthdate are requested for verification purposes. If you elect not to provide this information, Peninsula Co-op will contact you to verify your identity before changes to your membership can be made.

Contact Phone Number*

Choose the Types of Information to Change*

Update Name
Update Mailing Address
Update Email Address
Update Phone Number
Update Email Preferences
Add Email Address

New Name*

New First Name New Last Name

Document Upload*

Accepted file types: gif, jpeg, jpg, pdf, png, png, Max. file size: 10 MB.

First or last name changes require a copy of one legal document (ie. drivers license, marriage certificate, etc.). Accepted file types include GIF, JPEG, PDF and PNG. Files cannot exceed 10 MB in size.

New Address*

Street Address City Province Postal Code

Previous Address*

Full address including Postal Code

New Email Address*

Confirm New Email Address*

Previous Email Address*

New Phone Number*

Previous Phone Number*

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Subscribe

Current Email Address*

Verify Email Address

New Email Address

Verify New Email Address

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Important member info
Co-op promos & offers
Liquor promos & offers (must by 19+)
Online voting for Directors Election

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Phone

This field is for validation purposes and should be left unchanged.