I want to join

Complete our enrollment form below. Dues are $20.00 per calendar year, payable each January. Please use PayPal for online payment. If you cannot pay online, checks may be mailed to:

1353 Washington County Line RdMarissa, IL 62357

For any other questions, contact us at stclairbees@gmail.com.

Already a member? Renew your membership.

NOTE: Personal information submitted is retained by SCBA and used only for the communication purposes of our club. It is shared only with the ISBA in order to register you for membership, included as part of your SCBA membership.

Name

Street Address

City, State, ZIP Code

Phone Number

Email Address

This will be used to send you announcements and the monthly newsletter.

How many hives do you currently have?

None

1-2 hives

3-4 hives

5 or more

Payment of Dues

Select one of the options

Pay electronically

Send a check or pay cash

S	M	T	W	T	F	S
						1
2	3	4	5	6	7	8
9	10	11	12	13	14	15
16	17	18	19	20	21	22
23	24	25	26	27	28	29
30	31

Membership Enrollment

I want to join

Pay your dues of $20 using PayPal or send a check to the address above