|
Missouri Valley Beekeepers Assoc.
Information, Training,
Assistance, Advice, Camaraderie
2011 MEMBERSHIP
APPLICATION
( Please Print Clearly )
Name:
______________________________________________
Address:
____________________________________________
City:
__________________________State: ____Zip: ________
Phone #. ______________
E-mail #. _____________________
PLEASE FILL IN PERTINENT
INFORMATION
M.V.B.A. dues _________
($ 10.00 single ) (15.00 family)
M.V.B.A. dues are
reduced 25% on the 4th, 7th, 10th month
State dues if desired:
____________ ($10.00 single) (15.00 family)
American Bee Journal ---New___or Renewal____
______1 Yr. Subscription $17.20
______ 2 Yr. Subscription $32.75
Bee Culture---New____or Renewal_____
_____ 1 Yr. Subscription $ 17.00
_____ 2 Yr. Subscription $ 32.00
Total
$___________________ Date Paid _______________
Make checks payable to:
Missouri Valley
Beekeepers Assoc.
Mail to: Stephany Sullivan
6974 Hwy
BB
Union, MO
63084
|