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Cowlitz Beekeepers Association
Member Application / Renewal Form

First Name

Last Name

Street Address

City, State, Zip Code

Email

Phone

Please check here to indicate that you authorize electronic communication (email) for notification of meetings, newsletters, and other club business.

Check here if you choose to share your contact information with other CBA Members.

Membership Fee(s):

$24 Individual or Family Annual.

Please make check payable to

Cowlitz Beekeepers Association

Send to address:

Cowlitz Beekeepers Association

C/O Barbara Skreen

801 Eufaula Heights Road

Longview Wa, 98632

*Note: A waiver will need to be signed before you can participate in any field days the club hosts. Waivers will be handed out the day of the field day for those to attend.

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