OCBA Membership Application

Applicant Info

First Name*

Last Name*

Address*

Street Address City State ZIP Code

Email*

Phone

Phone (Other)

work, mobile, etc.

Information

Please provide this optional information to help us learn more about you.

How many years have you been keeping bees?

What is your certification level?

This pertains to members who are participating in the North Carolina State Beekeepers Association Master Beekeeper Program.

How many hives do you have?

Apiary Location(s)

Please list street and city where you have hives.

Community and Chapter Involvement

We encourage members to become actively involved in both the chapter and the community. Please indicate activities you would be interested in.

Presentations to groups
School events
Community events
Mentoring new beekeepers
Serving as an OCBA officer or director

Membership Type*

Annual $10.00
Lifetime $100.00

Include a second applicant

Applicant 2

First Name*

Last Name*

Address*

Street Address City State ZIP Code

Email

Phone

Phone (Other)

work, mobile, etc.

What is your certification level?

This pertains to those who are participating in the North Carolina State Beekeepers Association Master Beekeeper Program.

Community and Chapter Involvement

Presentations to groups
School events
Community events
Mentoring new beekeepers
Serving as an OCBA officer or director

We encourage members to become actively involved in both the chapter and the community. Please indicate activities you would be interested in.

Membership Type (Applicant 2)*

Annual $10.00
Lifetime $100.00

Total

$0.00

Applicant Info

Information

Applicant 2

Meeting Info

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