PAWTUCKAWAY
BEEKEEPER'S ASSOCIATION
APPLICATION FOR MEMBERSHIP

Individual or Family Membership

YEARLY DUES $15.00

Please fill out this form, print it, and mail it with your check to the address below.

STATE: ZIP:
NEW       RENEWAL       GIFT

Check here if you need to receive the PBA newsletter by print mail:

Make check payable to PBA or Pawtuckaway Beekeeper's Association and mail with completed form to: Cheryl Riehl, PBA Treasurer  99 Rolling Hill Road, Hampstead, NH, 03841



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