United Cooperative Membership Application and Credit Agreement


United Cooperative is member owned, which means when you spend money with us, you can get money back in the form of Patronage!

United Cooperative member accounts are a convenient way to pay for all of your United Cooperative purchases. Please fill out the application to the right and include the necessary documents.

  Patronage is earned when you pay with your United Cooperative card, cash, or check. Credit/Debit payments will NOT count towards patronage.  
  Inform us of:    Call our Credit Department

(920) 887 - 1756

  • Address changes
  • Account title changes
  • Dissolution of a business/partnership
  • Pending sale/transfer of a property


Apply for Membership & 
Convenience Credit

  W9 form  
  Sales tax exempt form  
  - Cooperative Application  
  ACH Form  
Download and Print the listed documents* and email to creditdepartment@unitedcooperative.com or mail to:
United Cooperative

Attn: Credit Department
N7160 Raceway Road
Beaver Dam, WI 53916

*Original signed documents must be sent to United Cooperative

  *By completeing and signing the application, you are agreeing to United Cooperative's Terms & Conditions. These can be found in the Application.