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Membership Form for the Knox County Beekeepers Association


Name:      

Address:  

City:                              State:                      Zip:    

Home Phone:            Cell Phone:  

Adult membership ( $10 )         Youth membership ( $5 )   * under 18    
Check all that apply ( not required ):

Yes, I would like my name and telephone number on a list to be shared with other Knox County
Beekeepers Association Members.
I would like to get a mentor.
I am willing to become a mentor.
I would like my name and telephone number to be publicly listed for swarm removal in the following area(s):
I would like my name and telephone number to be publicly listed for bee removal from structures in the following area(s):
I would like my name and telephone number to be publicly listed as a seller of:
I would like my name and telephone number on a public list for pollination / hive rental for the following area(s):
I would like to be active in KCBA by serving on the Education Committee.
I would like to be active in KCBA by serving on the Fair Committee.
I would like to be active in KCBA by serving on the Medication Committee.
I would like to be active in KCBA by serving on the Membership Committee.
I would like to be active in KCBA by serving on the Publicity Committee.
I would like to be active in KCBA by serving on the Refreshment Committee.
I am willing to help with a program this year about:
I would be willing to serve as host/hostess during the month of:

I have read the By-Laws.

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