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Queensland Beekeepers’ Association Inc. Branches at: President: Robert Dewar Brisbane Secretary: Jo Martin Stanley River PO Box 61 Toowoomba BOONAH QLD 4310 Wide Bay Phone: 0498 000 496 Warwick Email: [email protected] Web:. http://www.qbabees.org.au ABN: 32 230 207 525 Application for Membership or Renewal of Membership I hereby apply for membership of the Queensland Beekeepers’ Association Inc. Name of Applicant: __________________________________ Membership renewal: _Y / N _ HIN: .. Number of Hives: _ _______ Address: __________________________________ _________________________________ Postcode: _ Email Address: __________________________________ Phone No: __________________________________ Mobile: ____ _ Signature of Applicant: _________________________________ Date: _____/______/_______ New members: (If unsure, this will be done at the next Management Committee meeting.)

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Queensland Beekeepers’ Association Inc.

Branches at: President: Robert DewarBrisbane Secretary: Jo MartinStanley River PO Box 61Toowoomba BOONAH

QLD 4310Wide Bay Phone: 0498 000 496Warwick Email: [email protected]

Web:. http://www.qbabees.org.au ABN: 32 230 207 525

Application for Membership or Renewal of Membership

I hereby apply for membership of the Queensland Beekeepers’ Association Inc.

Name of Applicant: __________________________________ Membership renewal: _Y / N _

HIN: .. Number of Hives: _ _______

Address: __________________________________

_________________________________ Postcode: _

Email Address: __________________________________

Phone No: __________________________________ Mobile: ____ _

Signature of Applicant: _________________________________ Date: _____/______/_______

New members:(If unsure, this will be done at the next Management Committee meeting.)

Nominated Branch: _________________________________

Nominated by: _________________________________

Seconded by: _________________________________

Membership Fees for 2018 – 2019 (Fees fall due 1 st May yearly)

0 to 50 Hives (1 vote) $ 50-00 201 to 300 Hives (6 votes) $175-00 51 to 100 Hives (2 votes) $ 75-00 301 to 400 Hives (8 votes) $225-00101 to 150 Hives (3 votes) $100-00 401 to 500 Hives (10 votes) $275-00151 to 200 Hives (4 votes) $125-00 501 to 600 Hives (12 votes) $325-00

More than 600 Hives (14 votes) $375-00

Cheque/Money OrderQueensland Beekeepers’ Association Inc.The SecretaryPO Box 61BOONAH QLD 4310Please send with this completed form.

Direct DepositQueensland Beekeepers’ Association Inc.BSB: 064-434Account: 00090507Reference: Please use your surname and first initial.Return Completed form - by Email to: [email protected]

Office Use

Q Book Ref #..........................Payment DD/Chq no……………Mem Dbase Email Dbase N’letter Dbase