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* 1. Are you familiar with co-ops, food co-ops in particular??

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* 2. Co-ops differ from other businesses in that they are owned equally by shareholders in the community. Would you like to shop at a community-based, cooperatively-owned grocery store?

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* 3. Co-op shareholders receive benefits such as shareholders-only sales days, discounts, bulk buying privileges and, if business conditions permit, dividend payments. Shareholders also have a voice in directing the co-op through their vote in annual meetings and their right to stand for and elect the co-op Board of Directors. Would you be willing to invest a one-time fee of $150-$200 for a co-op share?

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* 4. How far do you usually go to buy groceries?

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* 5. Do you live in Winsted/Winchester Center?

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* 6. Do you commute to or through Winsted or otherwise come through town?

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* 7. How often do you come to or pass through Winsted?

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* 8. Would you like to receive information and news from the Mad River Market? If yes, please provide your contact information below.

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