BFG Application 2.0

Bee Friendly Gardening Membership Form

Thank you for your interest in joining the Bee Friendly Gardening program! Please complete the form below and pay the annual $20.00 membership fee to proceed with securing your membership. This is an annual membership fee that will renew automatically each year. You can cancel your membership at any time. NOTE: This is the application for individual membership; if you are looking for a corporate or organizational membership, do not fill out this form. Instead contact us at bfg@pollinator.org.
Category
Your Name*

First NameLast Name
Name to be displayed on certificate*
Email address*
example@example.com
Re-enter Email address*
example@example.com
Phone Number*

Area CodePhone Number
What kind of garden do you manage?

HomePublicCommunity/FoodOther
What kind of garden do you manage?

HomePublicCommunity/FoodOther
Street address
City*
State/Province*
Address*

Street Address

Country

CityState / Province

Postal / Zip Code
Zip/Postal Code*
How did you hear about Bee Friendly Gardening? Please include specifics [publication, organization, website (include URL), etc.]. If you found out about us from another BFG Member make sure and let us know so we can thank them!
Optional: Tell us more about your garden/pollinator work, provide feedback, etc.

My Products*

Bee Friendly Gardening Annual Fee

$20.00 for the first payment then,$20.00 for each year

Enter coupon

Total

$0.00

Bee Friendly Gardening Membership Form