Name
Address
Post Code
Telephone number
Email address
No of colonies
Colony Location

Membership for the period:   1st October 2005 – 30 September 2006
Full Membership £34.00 (includes BDI for 3 colonies)
Associate (no bees, no beecraft) £14.50
Family (relative of full member at same address) £3.50
BDI additional insurance if more than 3 colonies 4-5 £2.00, 6-10 £5.25.
Apiary Hive Rental  £10 (per hive)
Apiary Key Deposit  £5
Donation / Other (please specify)
TOTAL

DATA PROTECTION ACT:
I give permission for my details to be disclosed to:-
Beecraft Ltd for the purpose of sending me "Beecraft Magazine"*.
All members of the Club on the club members list*.
British Beekeepers Association*.
Bee Disease Insurance Ltd*.
Regional Bee Inspector*.
* Delete if necessary

Signed:

GIFT AID

Please fill in your name and address in CAPITAL LETTERS, and sign and date the declaration

I (full name) ___________________________________________________________________________

Of (address) _____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________POST CODE_____________________

GIFT AID DECLARATION

I confirm that I am a UK taxpayer paying an amount of income or capital gains tax on a sum equivalent to the subscription/donation before the deduction of tax at standard rate. If I cease to pay such tax I will inform the treasurer of the Association.

Signed______________________________________________________ Date____________________

Please return to the Treasurer our policy is not to put peoples adresses or phone numbers on the website email webmaster for treasurers address Cheques made payable to: - “Kingston Division/ Surrey Beekeepers”