Oregon State Beekeepers Association - Membership Application |
|
|
|
|
|
Membership in the Oregon State Beekeepers
Association is open to anyone who has an interest in bees and
beekeeping. You do not need to own bees or reside in Oregon
to join. Annual memberships and renewals are $25 per person (outside US: $34), which includes the ongoing work of the organization on behalf of the honey bee and beekeeping, a
vote in OSBA elections, discounts on publications, optional placement on the swarm call list, and a membership directory and subscription to The Bee Line.
|
|
|
Name:
___________________________________________________________
|
|
|
Address:
_________________________________________________________
|
|
|
City/state/zip:
____________________________________________________
|
|
|
Phone: ( ) ________________
Fax: ( ) ________________
Cell: ( ) ________________
|
|
|
email address:
_____________________________________________
|
|
|
Please indicate which, if member of a local beekeeping association: _____________________________
|
|
|
CONTACT INFORMATION: May we include your name and address in a membership list that will be given to members only? Please circle: YES / NO The OSBA respects the privacy of their members. Please circle "NO" if you do not want your contact information included in a membership directory sent to members only. Also please note if you want to share only a portion of your contact information, such as address only or phone/email only. |
|
|
Please make checks payable to OSBA and mail this form with payment to: OSBA
c/o Paul Kowash
5959 SW Taylors Ferry Rd
Portland OR 97219
|
|
|
Membership Dues ($25, Outside US: $34)
$ __________
Additional Voluntary Contribution for Research $ __________
Additional Voluntary Contribution for General Fund
$ __________
Total Amount Enclosed $ __________ |
|
|
|
|
|
|
|