The image is a photograph of a membership application form for a company called "COSI". The form is divided into two sections. The top section has a red header with the company's logo and the words "Be a part of COSI" in bold white letters. Below the header, there is a section titled "Membership Application" in smaller black letters. 

The bottom section of the form has a space for the user to fill out their name, address, phone number, and other details about the membership application. There is also a section for the company to provide information about their membership.

On the right side of the page, there are two images - one of a group of people sitting at a table and the other of a man and a woman. The man and woman are smiling and appear to be engaged in a conversation. The woman is holding a book and the man is looking at her with a smile on his face. The background of the image is white and the text is in black and red.