South Carolina Beekeepers Association

                 ADVANCED REGISTRATION FORM FOR JOINT SCBA & NCSBA

                 2009 SPRING MEETING, BAXTER HOOD CONVENTION CENTER,

                YORK TECHNICAL COLLEGE, ROCK HILL, SC, MARCH 6-7, 2009

 

NAME(S) _______________________________ (CHILDREN) ____________________

 

ADDRESS: ______________________________ CITY: _________________________

 

STATE: _____________________ ZIP CODE:_____________ PH: (       ) _____________

 

REGISTRATION FEE (Note: These are ADVANCED mail-in fees, WALK-IN fees at the meeting will be $15 higher on individual and family registrations.)

                                                                                                                    Amount Paid

          Individual Registration (SCBA or NCSBA Member)          $15.00     ____________

          Family Registration (SCBA or NCSBA Member)               $20.00     ____________

          Non-Member (SCBA or NCSBA) Registration                   $20.00     ____________

          Non-Member (SCBA or NCSBA) Family Registration       $30.00     ____________

             (Note: North Carolina beekeepers are not required

               to join the SCBA to register for this meeting.)

 

BANQUET MENU: Fried Chicken & Roast Beef, Green Beans, Glazed Carrots, Mashed Potatoes & Gravy, Sweet Potato Scuffle, Sour Dough Bread, Variety of Desserts and Tea

(Buffet Style)

         

BANQUET TICKETS:  $15 ADULTS / $8 CHILDREN (6 yrs or younger) 

           Banquet Tickets (how many adults):     @ $15                                     _____________

           Banquet Tickets (how many children)   @ $8                                       _____________

 

ANNUAL SCBA DUES (Year 2009 )   $10                                                      _____________  

                                                                  

                                                                 TOTAL CHECK  AMOUNT  =    _____________

 

PLEASE COMPLETE THIS FORM AND MAIL WITH CHECK NO LATER THAN 17 FEB 2009.

 MAKE CHECK PAYABLE TO SCBA & MAIL TO:

                                                                                 

                                   Don Van Borsch, SCBA Secretary/Treasurer.

                                   407 Old Plantation Drive

                                   West Columbia, SC  29172

 

HOTEL RESERVATIONS: reservations are your responsibility. Three nearby hotels have special rates for beekeepers attending this meeting.

______________________________________________________________________________

 

FOR OFFICE USE ONLY:

 

Amount Paid: _________ Check No: _________    Date: ____________

PLEASE PRINT AND COMPLETE THIS FORM