Name ______________________________________________

Address ____________________________________________

Spouse _____________________________________________

Telephone Number ___________________________________

Number of Hives _____________________________________

Beekeeping Experience ________________________________

Reason for wishing to join ______________________________

Recommended by _____________________________________

Date of Application ____________________________________

Date of Approval ______________________________________

Over or under 16? _____________________________________

Occupation (optional) __________________________________

Other hobbies _________________________________________

Family Membership $10.00 From Oct. _____ to Oct. _______

If you want to join just:

1. Print out this form
2. Fill out the form
3. Then bring the form and your membership fee to the next meeting giving it to Linda Kozloski

OR

You can just come to the next meeting and see if it is for you. Just drop Linda Kozloski an Email linkoz@cox.net to tell her your coming and Linda will be looking to welcome you.