MEMBERSHIP APPLICATION for Hays County Beekeepers Association
Email address *
Join Date or Meeting Date *
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DD
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YYYY
Membership Level desired (Yearly Fee) *
Today's Payment Amount and Method of Payment (e.g. $20 cash/check, will pay later, paid online, contact me, etc.)
Your answer
INDIVIDUAL Member Name (LAST, First) *
Your answer
Spouse/Partner and Children names (for FAMILY MEMBERSHIP only)
Your answer
Street Address, City, ZIP
Your answer
Would you like to make an additional donation to support HCBA Programs today, and if so how much?
Your answer
Years of Experience as a Beekeeper
Your answer
Types of Hives you have/are interested in
Would you be interested in:
How did you hear about HCBA?
MEMBERSHIP DRIVE: HCBA is running membership drive every year - the member that can sign up the most new members between now and December 31st will win a 2-frame extractor for themselves (a $200 value), awarded during the JANUARY meeting! To participate, have the people you are referring fill in this Membership form, making sure they list your name at the end of the form so you get credit for it. Once they have paid their dues, you will get credited for their membership registration (4 points per Single, 5 points per family).
if you have been referred by an HCBA member, please specify their name below to increase their chance to win an extractor at the DECEMBER meeting, and let your friends know to increase your own chances!
Person who referred you to HCBA, if any
Your answer
A copy of your responses will be emailed to the address you provided.
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