St. Croix Valley Beekeeper's Association 2024

St. Croix Valley Beekeeper's Association

2024 Membership Form
PLEASE PRINT clearly, all applicable information and submit it to the Membership Chair with payment to the Treasurer or Secretary. Renewing members please update all contact information. Items in BOLD are required:
Date

MonthDayYear
Date
Primary Member Email
First Name
Last Name
Please Check One

New MemberRenewing Member
Address
City
State
Zip
Home Phone
Occupation
Cell phone
Years in Beekeeping
# of Hives
Do you need a mentor?

YESNO
Additional member at this address
E mail Address
example@example.com
Phone
Additional member at this address
E mail Address
example@example.com
Phone
SCVBA membership dues for 2024

**Please make your check payable to: St. Croix Valley Beekeeper's Association Treasurer.
Dues Paid and Accepted by
Check#
Cash
Should be Empty: