L.C.B.A. Membership Form

 Date:

 Name:

                                   NEW                                                                       RENEWAL

                                                                   (circle one above)

 (The above address will be the location the newsletter will be mailed to) If we can contact you by e-mail for meeting updates or changes and other LCBA items, please list your e-mail address below. It will only be used for LCBA updates, etc.

 Email: ____________________________________________________________________

                                                              (print clearly & legibly)

 The above person/family has applied for membership in the Lorain County Beekeepers Assoc. The adult members of the applicant family

18 yrs. and older are requested to take part in the annual association election of officers as to conduct the regular business of the association.

Youth members are welcome to join in on all other association activities. Memberships run on a calendar year basis (January to December).

Check your newsletter label for expiration date.

The above person/family acknowledges that their contact information will be added to the membership list. This list is a controlled

item and will be used only for L.C.B.A. business and will not be used for any other purpose.

Enclosed is $25.00 for each year membership desired if receiving by mail, or $20.00 if receiving by e-mail. You must include your

e-mail above. Payment Enclosed $ ______ (check | money order) Payable to Lorain County Beekeepers

 Mail this form with payment to: 

LCBA Membership

Chantal DeYoe

2175 St. Rt. 162 E.

North Fairfield, OH 44855

                                                                                        OR