Beekeeper Registration

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Please correct the field(s) marked in red below:

Prior to completing this form please locate your zone.

1

Beekeeper's Full Name(s)

 *
2

Beekeeper's E-Mail Address

3

Beekeeper's Primary Phone Number

 *
4

Alternate Phone Number

5

Physical Address (location of the bees) include street, city, and zip code.

 *
6

What Zone are the bees located in?

 *

By submitting this form, I herby certify that the information given above is correct and true to the best of my knowledge and belief.

I further understand that, it is my sole responsibility to notify Dorchester County of all changes to the information that I have provided.