I/We understand that to be eligible to occupy a housing unit I/we must become a member(s) of Mary Campbell Co-operative Inc. and sign the Occupancy Agreement. I/We support the co-operative principles and am/are interested in becoming a member(s).

I/We understand that this application must be accompanied by the following:

• A $20.00 application fee per household. This application fee will not be refunded. I/We will make the cheque or money order payable to Mary Campbell Co-operative Inc.

• Income verification in the form requested by the Co-operative for each member of the household who receives an income.

I/We understand that accommodation in Mary Campbell Housing Co-operative Inc. depends on being accepted for membership into the Co-operative and that I/we will be interviewed for membership at a later date.

I/We consent that all the information in this application is correct. I/We authorize the Co-operative to verify any or all of the information in my/our application, and to perform a credit check.

Applicant #1: Signature: ___________________________ Date: _______________________________

Applicant #2: Signature: _______________________________ Date:___________________________________