ACBA Membership Form

Membership Payment

ACBA membership dues are $10 per year (plus $0.55 PayPal / credit card fees for paying online). Membership runs from January 1st to December 31st. You are responsible for renewing your membership each January. Delinquency in dues payment results in suspension of voting and other member privileges and eventually cancellation of membership. Please contact the membership coordinator if you have any questions regarding your membership status.

About you

Membership type *

New Renewing

First and last name *

Email address *

Phone number *

Address *

City, state, ZIP code *

May we include your contact information in the club roster distributed to members?

Yes No

Your experience

Number of years as a beekeeper

1 – 3 4 – 6 7 – 9 10+

Describe your level of experience

Beginner Advanced Beginner Intermediate Advanced

How many hives do you have?

None yet 1 – 3 4 – 6 7 – 9 10+

Type of hive (Langstroth, Warre, etc.)

Do you need a mentor to help you gain experience?

Yes No

Do you have the experience and desire to mentor others?

Yes No

In what capacity can you mentor others?

Your interests

What suggestions do you have for programs at our meetings?

The club always needs additional help. Are you interested in serving as an officer or in another volunteer role?

Yes No

Would you be available as a speaker for schools or other groups?

Yes No

I wish to sell:

Honey Wax Pollen Bees

Do you want to be on the swarm list for this year?

Yes No

Extra donation?

Do you want to round up to $20.00 to support the club’s programs?

No, I’ll just pay the $10.55
Yes, I’ll round up to $20.00 ($10.55 membership + $9.45 extra donation)

Payment

To continue, first fill in the required fields marked with an asterisk in the “About you” section above (including clicking “New” or “Renewing”).

Choose a payment type below:

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