2018 CBKA Membership Application / Renewal Support As a fully paid up member of the association you are entitled to attend any New Member or Renewal of Membership (Delete as appropriate) CBKA group meeting. Please indicate in the table below with a tick the group you would like to be affiliated to. Please print and ensure you write clearly Title: Surname: CBKA Tick CBKA Group Tick Forename(s): 11 Bodmin 15 Liskeard 12 Kit Hill 17 Roseland Other Member Other Member Title: Surname: 13 Carrick/Kerrier 18 Wadebridge Other Member 14 Launceston Forename(s): Address: Please send your membership Alternative BACS Payment application form and fee to Account Name: Mr Leslie Buckley Beekeepers’ Association Post Code: CBKA Treasurer Account No: 00007630 19 Grove Park Court 40-52-40 Sort code: e-mail: Liskeard, PL14 4EZ Reference: Your surname & postcode Please make cheques payable to Send your membership application Tel No: Mob No: CBKA form to: cbkacharity@gmail.com Tick Membership type (see 2018 CBKA Membership Information) I agree to comply with the rules of the CBKA. I am aware that the CBKA Full Membership: £26 £ keeps a record of my details on a computer in accordance with its Privacy Policy (available on the CBKA website). I accept that my details may be Partner Member: £17 £ given to the BBKA. I also accept that my details may be given to officers of Country Member: £13 £ the National Bee Unit for the purposes of education and disease control, unless I opt out by placing an X in the box below. Associate Member: £10 £ Junior Member: £10 £ Please do not forward my details to the National Bee Unit (NBU) Bee Disease Insurance (BDI) cover Please do not make my details available to other CBKA members Colonies operated Extra insurance Premium £ Beekeepers Quarterly (available for new & renewal Member’s signature: Date: applications received by 31/01/2018) : £20 Voluntary donation to CBKA: £ CBKA Gift Aid £
2018 CBKA Membership Application / Renewal New Member or Renewal of Membership (Delete as appropriate) Please print and ensure you write clearly Title: Surname: Forename(s): Other Member Title: Other Member Surname: Other Member Forename(s): Address: Post Code: e-mail: Tel No: Mob No: Tick Membership type (see 2018 CBKA Membership Information) Full Membership: £26 £ Partner Member: £17 £ Country Member: £13 £ Associate Member: £10 £ Junior Member: £10 £ Bee Disease Insurance (BDI) cover Colonies operated Extra insurance Premium £ Beekeepers Quarterly (available for new & renewal applications received by 31/01/2018) : £20 Voluntary donation to CBKA: £ £ Support As a fully paid up member of the association you are entitled to attend any CBKA group meeting. Please indicate in the table below with a tick the group you would like to be affiliated to. CBKA Tick CBKA Group Tick 11 Bodmin 15 Liskeard 12 Kit Hill 17 Roseland 13 Carrick/Kerrier 18 Wadebridge 14 Launceston Please send your membership application form and fee to Mr Leslie Buckley CBKA Treasurer 19 Grove Park Court Liskeard, PL14 4EZ Please make cheques payable to CBKA Alternative BACS Payment Account Name: Beekeepers’ Association Account No: 00007630 Sort code: 40-52-40 Reference: Your surname & postcode Send your membership application form to: cbkacharity@gmail.com I agree to comply with the rules of the CBKA. I am aware that the CBKA keeps a record of my details on a computer in accordance with its Privacy Policy (available on the CBKA website). I accept that my details may be given to the BBKA. I also accept that my details may be given to officers of the National Bee Unit for the purposes of education and disease control, unless I opt out by placing an X in the box below. Please do not forward my details to the National Bee Unit (NBU) Please do not make my details available to other CBKA members Member’s signature: Date: CBKA Gift Aid
2018-CBKA-Membership-and-Gift-Aid-Form.docx