ASMB MEMBERSHIP APPLICATION



Don't wish to cut up your newsletter for an application? Print out and mail to the Treasurer!
MEMBERSHIP NUMBER______ NEW___ RENEWAL___ SINGLE___ FAMILY___
NAME_____________________________________
ADDRESS________________________________
TOWN, STATE, ZIPCODE___________________________
EMAIL ADDRESS_______________________________
TELEPHONE (_____)______________

ANY CHANGES? (CIRCLE) ADDRESS/ TELEPHONE/ EMAIL

DUES- SINGLE $5.00, FAMILY $6.00
MAKE CHECKS PAYABLE TO "ASSOCIATION OF SOUTHERN MARYLAND BEEKEEPERS" OR
"ASMB"
MAIL TO PATRICIA VANRYSWICK, 21066 HAMPTON RD, LEONARDTOWN, MD 20650