LOUISIANA
BEEKEEPERS ASSOCIATION, INC.
2015
MEMBERSHIP APPLICATION
“MEMBER
GET A MEMBER CAMPAIGN”
Name:________________________________________________Parish:___________________________________________
Street
Address:
________________________________________________________________________________________
City________________________________________________________________
State: _______ Zip: ________________
Phone:
____________________________ E-mail address: ______________________________________________________
If you are a member of a local club please list here:
_____________________________________________________
ANNUAL MEMBERSHIP DUES:
$10.00 NEW MEMBER
RENEWAL
___ Small Scale (1-25 colonies), ____ Sideliner (26-250
colonies), ____ Commercial (251+
colonies),
___ Non-beekeeper
___ Associate Membership (Vendors, clubs, etc. supporting of
state association activities) - $25.00
______________________________________________________________________________________________
Please send your check or money order payable to the
Louisiana Beekeepers Association Inc.
C/o David Ferguson, P. O. Box 716, Brusly, LA 70719 Ph.
225/413-6627
*Membership Expires December 31st* __________________________________________________________________________________________________
Referred by: ____ SELABEES.ORG________________
Date: ______________