Membership Form-pg 13

Please complete and print this form and send form with annual membership fee to address below:

Individual Membership: $15 annually Family Membership: $25 annually

(Check or money order only, no cash, please)

Vermont Beekeepers Association

PO Box 764

Burlington VT 05402-0764

First name

Last name

Address

Town/City

State

Zip code

E-mail address

Telephone Number

Number of Hives?

Professional

Sideliner

Hobbyist

Do you offer any products or services?

Would you like to have your honey/bee related products

or services listed on the web site marketplace?

Are you willing to serve on a committee?

Are you willing to be a Mentor?

In what way are you willing to help the Vermont Beekeepers Association?