Peninsula Co-op Member-Owner Application


*Complete business/community info only if membership is to be in that name. **Your social insurance number is used by Peninsula Co-op to report the withholding tax deducted from your rebate, thus allowing the Canada Revenue Agency to correctly allocate this remittance to your personal account, which you may then claim back when you file your income tax return.

Help us move to online voting - register for our newsletter to win a $100 gift card!

You must select the Memberships info category below to be eligible for the contest. One $100 gift card will be awarded monthly.

I would like to "opt-in" to receive the following email information:

Do you currently use home heating oil?
How did you hear about Peninsula Co-op?
If a current member or staff at Peninsula Co-op told you about us, please provide the following information so we can express our appreciation.
When you apply for a Peninsula Co-op membership, certain information is collected for the following purposes: Verifying your eligibility for membership; establishing and maintaining your membership; accounting services; communicating with you regarding your membership or other matters of concern to the Co-op and its members; detecting, preventing and deterring fraud; compiling statistics; offering you products and services to meet your needs and meeting legal and regulatory requirements.

Some of your information may be shared with a third party, for example, to facilitate the mailing of your member rebate. The information will only be that of which is necessary for completion of that purpose. By completing this application form and submitting it you consent to the use of the collected information. The security of your information is a high priority for Peninsula Co-op and we maintain appropriate safeguards to protect it.