This is the six digit number on your membership card. You must be a member to apply.
This is the address we will send your Co-op Cuppa kit to. Without a full address we will be unable to process your application.
Please name a specific store (e.g. Rosehill, Ipswich)
|How can we contact you?:|
We’d love to be able to send you exclusive money off deals and special offers, invite you to take part in tasting panels and events. The easiest way for us to do that is by email - to receive our offers, tick the opt-in box. We promise never to share your information with anyone else. Please indicate how you are happy for us to contact you.