MEMBERSHIP APPLICATION for Hays County Beekeepers Association
Join Date or Meeting Date
Membership Level desired (Yearly Fee)
Individual - $20
Family - $25
Private Sponsor - $50
BUSINESS Silver - $50
BUSINESS Gold - $100
BUSINESS Platinum - $200
Today's Payment Amount and Method of Payment (e.g. $20 cash/check, will pay later, paid online, contact me, etc.)
INDIVIDUAL Member Name (LAST, First)
Spouse/Partner and Children names (for FAMILY MEMBERSHIP only)
Street Address, City, ZIP
Would you like to make an additional donation to support HCBA Programs today, and if so how much?
Years of Experience as a Beekeeper
Types of Hives you have/are interested in
Would you be interested in:
Being a Mentor
Speaking at Club Meetings
Serving as an Officer, a Club Chair or on a club Committee
Managing the website
I can't help with those but contact me if you need other help
How did you hear about HCBA?
HCBA Facebook Page
An HCBA member
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
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service