Mary Mediatrix CooperativeMembership Application

Welcome, Future Member!

Before we begin β€” do you already have your PMES (Pre-Membership Education Seminar) Certificate?

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Yes, I have it

I have completed the PMES and have my certificate ready. Proceed to membership application.

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Not yet

I haven't completed the PMES yet. I need to schedule or get more information first.

Schedule Your PMES

The Pre-Membership Education Seminar (PMES) is required before you can become a member. Leave your details and our team will contact you.

πŸ“‹ Leave Your Details

We will reach out to you with available PMES schedules.

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Membership Requirements

Please prepare the following before proceeding with your application.

  • 1
    Fully Accomplished Subscription & Membership FormYou will complete this in the next steps of this application.
  • 2
    Photocopy of PMES CertificateYou will upload this at the end of the application form.
  • 3
    Updated / Recent Resume or CVYou will upload this at the end of the application form.
  • 4
    Payment of Initial Subscription (β‚±1,000.00)Initial payment for at least 10 shares @ β‚±100.00 per share.
  • 5
    Membership Fee (β‚±300.00)One-time membership processing fee.
πŸ“Œ Note: Total initial payment required is β‚±1,300.00 (β‚±1,000 subscription + β‚±300 membership fee). Payment shall be made to the cooperative cashier upon approval.

Subscription Agreement

Review the agreement below. The admin will fill in the financial details β€” you only need to provide the date.

MARY MEDIATRIX MEDICAL CENTER MULTI-PURPOSE COOPERATIVE
J.P. Laurel Highway, Lipa City

SUBSCRIPTION AGREEMENT

The undersigned hereby subscribes shares and agrees to take ___________ shares of the capital stock of Mary Mediatrix Medical Center Multi-Purpose Cooperative at β‚±100.00 each share for the total amount of ___________ same in cash to the cooperative under the following terms and conditions:

  1. ___________ cash upon signing of the agreement;
  2. ___________ balance to be paid until ___________ days after signing of the agreement.

Failure to pay the balance on the subscription to the aforementioned agreement shall mean membership disqualification prescribed in accordance with the By-Laws of the Cooperative.

This _____ day of _______________, at Lipa City.

β“˜ Blank fields above will be completed by the cooperative admin upon processing.

Your Information
πŸ“†
The date you are signing this agreement. Required.

Admin will fill in:

β€’ Number of shares
β€’ Total amount
β€’ Cash upon signing
β€’ Balance & payment days

I have read and understand the Subscription Agreement above. I acknowledge that the financial details will be completed by the cooperative admin, and that failure to pay may result in membership disqualification.

Membership Agreement

Fill in your details below. The agreement text will update as you type.

Your Details for This Agreement
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Format: 000-000-000 Required.
Agreement Preview

MARY MEDIATRIX MEDICAL CENTER MULTI-PURPOSE COOPERATIVE

MEMBERSHIP AND SUBSCRIPTION AGREEMENT

The Board of Directors
Mary Mediatrix Medical Center Multi-Purpose Cooperative

Sir/Madam:

I, ___________________________, a resident of __________________________, hereby agree to be a regular/associate member of the Mary Mediatrix Medical Center Multi-Purpose Cooperative. I have completed the training course prescribed for prospective members and I understand the purposes and objectives of the Cooperative.

In connection with such membership, I hereby agree to the following terms and conditions:

  1. To comply with the provision of the Articles of Cooperation, the By-Laws and policies set by the Board, the General Assembly as well as acts of duly constituted authorities and failure on my part to do so, the Cooperative, as its option, may:
    1. Fine
    2. Suspend or
    3. Expel me from membership, whereupon all my shareholdings in, shall be answerable for my liabilities to, Cooperative.
  2. To attend all meetings, conferences and seminars as required by the Board of Directors and failure on my part to do so, unless previously excused by the Board, to make up for the activity I have missed.
  3. To participate in the planned thrift and savings by subscribing for at least ten (10) shares valued at One Hundred Pesos (β‚±100.00) per share. To pay at least twenty five (25%) percent of the share capital upon approval by the Board my application for membership and the balance to be paid within three (3) months or in six (6) installments within three (3) months.
  4. To pay the membership fee of Three Hundred Pesos (β‚±300.00) only.
  5. To comply with the directive of duly constituted authorities as well as decision of the Board regarding the operating policies of the Cooperative.

The provision of the Agreement, the Articles of Cooperative and By-Laws have been explained to me and I understand them and agree to abide with all of them.

In all of the above undertakings, I am aware that the Board of Directors and the General Assembly may impose sanction against me or perform any acts necessary to make the sanction effective without going to court.

In witness hereof, I have hereunto affixed my signature this _____ day of _______________, in the City of Lipa.

Signature Over Printed Name

TIN #

I have read and fully understand the Membership and Subscription Agreement. I confirm the details I provided above are accurate, and I agree to all the terms and conditions stated.

Application for Membership

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Personal Data
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Pre-filled from the name you entered in Step 3 β€” please check the split and correct if needed.

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Employment Data
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Document Uploads
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PDF only (max 5MB)

PMES Certificate is required.
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Resume/CV is required.
Signature

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Signature is required.
I hereby apply for regular/associate membership. I agree to obey faithfully the rules and regulations of the Cooperative, abide by decisions of the general membership meetings and those of the Board of Directors. I pledge to attend and finish PMES, pay the membership fee and initial subscription, and comply with all cooperative agreements.
Document Preview ● LIVE

MARY MEDIATRIX MEDICAL CENTER
MULTI-PURPOSE COOPERATIVE

APPLICATION FOR MEMBERSHIP

I hereby apply for membership in Mary Mediatrix Medical Center Multi-Purpose Cooperative, Inc. I agree to obey faithfully its rules and regulations as set down in its Articles of Incorporation and By-Laws, the decisions of the general membership meetings and those of the Board of Directors.

I hereby pledge to:

  1. Attend and finish the prescribed membership education courses for regular membership.
  2. Pay the membership fee of Three Hundred Pesos (β‚±300.00)
  3. Subscribed for at least ten (10) shares and pay for them under the terms and conditions prescribed in the Membership Agreement.
  4. Comply with the membership and subscription agreement. For your consideration, I hereby attached my information sheet.

Signature Over Printed Name

Date:

Personal Data:

Last Name

First Name

Middle Name

Date of BirthAge:
Place of Birth
Civil StatusSpouse:
No. of DependentsAge:
Present Address
Provincial Address
Telephone Nos.

Employment Data:

Date Hired
Position/ID #
Dept./Section
Length of Service
Basic Pay
Gross Pay
Other Income
Spouse Gross

APPROVED BY:

Chairman-Screening Committee

Date:

NOTED BY:

Chairman β€” MMMCMPC

Date:

Membership type (Regular / Associate) to be determined by the Board upon review.

Live preview β€” updates as you fill in the form

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Application Submitted!

Thank you for applying to become a member of Mary Mediatrix Multi-Purpose Cooperative. Your application has been received and is now being reviewed.

  • You will receive a confirmation email shortly
  • Our team will review your application within 3–5 business days
  • You will be contacted regarding payment instructions
  • Upon approval, you will be officially enrolled as a member
Est. 1996 Β· Community Cooperative


Your Community.
Your Cooperative.

Empowering every member of Mary Mediatrix Medical Center through shared prosperity. Access your capital, track dividends, and grow together.

0Businesses
0%Member-Owned
0Online Access
Cooperative Seal
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Three Businesses,
One Community

All profits flow back to our members through dividends and cooperative benefits.

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Water Station

Clean, affordable purified drinking water. Sustainable hydration for our community, owned and operated for member benefit.

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Grocery

Fresh produce, daily essentials, and pantry staples at fair cooperative prices. Every peso stays within the community.

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Canteen

Warm, home-style meals for the whole community β€” affordable, nutritious, and freshly prepared every day.

Everything in One Place

Your complete financial picture, accessible anytime through your member account.

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Capital Overview

Track your total capital contribution and watch it grow with every transaction and deposit.

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Dividend Reports

View earned dividends in detail β€” see exactly how your share of profits is calculated.

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Loan Application

Apply for member loans online and track your application status and repayment schedule.

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Secure Account

Your financial data is protected with secure login. Access your account anytime, anywhere.

How It Works

Four easy steps to get started.

01

Find Record

Locate your existing membership using your Member ID, SSS/TIN, or Loan App ID.

02

Set Password

Choose your email and a secure password for your online account.

03

Access Portal

Log in to view your capital, dividends, and full account history.

04

Grow Together

Apply for loans, enjoy coop benefits, and watch your membership grow.

Cooperative Seal

Mary Mediatrix
Multi-Purpose Cooperative

Founded in 1996, the Mary Mediatrix Multi-Purpose Cooperative was established to empower the employees and community of Mary Mediatrix Medical Center through collective ownership, shared resources, and mutual support.

Our Mission

To provide members with essential goods and services at fair prices, while building capital through collective enterprise and cooperative values.

Our Vision

A financially empowered cooperative community where every member benefits from shared prosperity and sustainable growth.

Core Values

Honesty, transparency, member participation, and mutual aid β€” the pillars of everything we do.

Ready to Join
Mary Mediatrix Coop?

Become a member today and enjoy the benefits of a community-owned cooperative that's been serving since 1996.