Oregon State Beekeepers Association

Oregon State Beekeepers Association

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Oregon State Beekeepers Association - Membership Application

(Print and mail this form)
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. 

OSBA membership is $25 per person (outside US: $34) and includes a vote in OSBA elections and an annual subscription to The Bee Line.
Name: ___________________________________________________________
Address: _________________________________________________________
City/State/Zip: ____________________________________________________
Phone:    (          ) ________________
Fax:         (          ) ________________
Cell:         (          ) ________________
E-Mail Address: _____________________________________________
Member of which local beekeeping club?:  ________________________________________________

PLEASE NOTE: May we include your name and address in a membership list that will be given to members only? Please circle one, YES / NO

If you circled YES, please circle any information on the above application form that you do not want included on the membership list. The OSBA respects the privacy of their members and will never sell any information supplied.



Please make checks payable to OSBA and send 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                                                                                       $ __________


Effective Date: 10/29/2010
 
Thank You for Joining the OSBA!