Wye Valley Beekeepers' Association. (Est.1978)

Affiliated to the British Beekeeping Association & The National Honey Show

Charity Reg No 517008

MEMBERSHIP RENEWAL/APPLICATION 2009

          I wish to renew/apply for membership as follows:                              Cost                                      Amount

         Full Basic Membership                                                    £22.50                          ..............

         Family Membership                                                           £2.00                         ................

         Special Membership - (Persons not owning Bees)            £2.00                        ..................

         Special Membership with Newsletter                                 £7.50                        ..................

         Donation                                                                                                                ....................

 Additional Bee Disease Insurance

        Please note the first 3 colonies are included in the membership fee

                                                              Number of additional colonies               Cost

                                                                                  1-2                                    £2.00

                                                                                  3-7                                     £5.25

                                                                                 8-12                                     £7.75

                                                                                13-17                                     £9.50

                                                                                 18-22                                  £11.10

                                                                                 23-36                                50p per colony

Total number of additional colonies................. Additional Insurance Paid..................

Total Amount Due:                                                                                                              ________________

(Please make cheque payable to Wye Valley B.K.A.)

Please insert FULL PRINTED name and address and return to Hon. Treasurer

Daniel Wenczek, Hopleys, Bearwood, Pembridge, Herefordshire HR6 9EQ

Name...........................................................................................  Telephone No:.........................................

Address.............................................................................................................................................................

......................................................................... E-mail.....................................................................................

I want the charity to treat all donations and subscriptions I make from the date of this declaration until I notify you otherwise as Gift Aid Donations.

Signature...........................................................................................   Date......../......../.......