Advance Registration NCSBA 2021 Summer/Fall Conference Registration In order to plan for and comply with capacity and social distancing restrictions PRE-REGISTRATION IS REQUIRED. Registration deadline is 11:59pm, Friday, November 5, 2021. Registration fees are non-refundable after November 5, 2021. Please Note: Due to the abbreviated length of the meeting and concerns due to Covid risks, there will be no banquet. We plan to present awards following our business meeting. Status*NCSBA MemberNon-NCSBA MemberIf you are now or have ever been a member of the NCSBA you choose "NCSBA member". Your member number will be required. Members who renew their NCSBA membership through their local chapter should ensure that the payment has been completely processed (that is, submitted to the NCSBA and not being held by the local Chapter) so that their registration can be completed. You may also pay your NCSBA dues along with the conference registration fee.NCSBA Membership #*Your membership number can be found on your membership card. You may also request your member number using your email address. Please enter YOUR actual number (not a random number, ?????, etc).Local Chapter*SelectNone (at-large)Alamance County BeekeepersAlexander County BeekeepersAlleghany County BeekeepersAnson County BeekeepersAppalachian BeekeepersAshe County BeekeepersBeaufort County BeekeepersBeekeepers of Chowan CountyBeekeepers of The AlbemarleBeekeepers of The NeuseBeekeepers of Wilkes CountyBlack River Beekeepers AssociationBrunswick County BeekeepersBuncombe County Beekeepers ChapterBurke County BeekeepersCabarrus County BeekeepersCaldwell County BeekeepersCarolina Foothills BeekeepersCashie BeekeepersCaswell County BeekeepersCatawba Valley BeekeepersChatham County BeekeepersCleveland County BeekeepersCoastal Plain BeekeepersColumbus County BeekeepersCraven-Pamlico BeekeepersCrystal Coast BeekeepersCumberland County BeekeepersDavidson County BeekeepersDavie County BeekeepersDuplin County BeekeepersDurham County BeekeepersFive County BeekeepersForsyth County BeekeepersFranklin County BeekeepersGaston County BeekeepersGranville County BeekeepersGuilford County BeekeepersHalifax-Northampton BeekeepersHampstead Natural BeekeepersHarnett County BeekeepersHaywood County BeekeepersHenderson County BeekeepersHoke County BeekeepersIredell County BeekeepersJackson County BeekeepersJohnston County BeekeepersKerr-Tar BeekeepersLee County BeekeepersLincoln County BeekeepersMacon County BeekeepersMadison County BeekeepersMcDowell Honey BeesMecklenburg County BeekeepersMontgomery County BeekeepersMoore County BeekeepersNeuse Regional BeekeepersNew Hanover County BeekeepersOnslow County BeekeepersOrange County BeekeepersOuter Banks Beekeepers' GuildPender County BeekeepersPerson County BeekeepersRandolph County BeekeepersRichmond County BeekeepersRobeson County Area BeekeepersRockingham County BeekeepersRowan County BeekeepersRutherford County BeekeepersSampson County BeekeepersScotland County BeekeepersSmoky Mountain BeekeepersStanly County BeekeepersStokes County BeekeepersSurry County BeekeepersTar River BeekeepersToe Cane BeekeepersTransylvania County Beekeepers AssociationUnion County BeekeepersWake County BeekeepersWatauga County BeekeepersWilson County BeekeepersYadkin County BeekeepersName* First Last Address* Street Address City*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code*County of Residence*SelectAlamanceAlexanderAlleghanyAnsonAsheAveryBeaufortBertieBladenBrunswickBuncombeBurkeCabarrusCaldwellCamdenCarteretCaswellCatawbaChathamCherokeeChowanClayClevelandColumbusCravenCumberlandCurrituckDareDavidsonDavieDuplinDurhamEdgecombeForsythFranklinGastonGatesGrahamGranvilleGreeneGuilfordHalifaxHarnettHaywoodHendersonHertfordHokeHydeIredellJacksonJohnstonJonesLeeLenoirLincolnMaconMadisonMartinMcDowellMecklenburgMitchellMontgomeryMooreNashNew HanoverNorthamptonOnslowOrangePamlicoPasquotankPenderPerquimansPersonPittPolkRandolphRichmondRobesonRockinghamRowanRutherfordSampsonScotlandStanlyStokesSurrySwainTransylvaniaTyrrellUnionVanceWakeWarrenWashingtonWataugaWayneWilkesWilsonYadkinYanceyPhone*Email* Enter Email Confirm Email Your receipt will be emailed to this address.Registration Type*Individual (NCSBA Member) $40.00Family (NCSBA Member) $65.00Note: Family Registrations include two adults and their children under 18 yrs.Members who have NOT paid their current year Annual Dues may do so by selecting one of the options below. Members who renew through their local chapter should ensure that the payment has been completely processed (that is, submitted to the NCSBA and not being held by the local Chapter) so that their registration can be completed.DuesIndividual Annual - $15.00Permanent - $300.00Permanent (55+) - $150.00Individual and Commercial memberships are annual. Permanent memberships are a one-time payment. The annual membership year is January 1 though December 31. The dues selected here apply to the primary conference registrant.Age VerificationAccepted file types: jpg, jpeg, gif, png, pdf.To be eligible "Permanent (55+)" membership you must be 55 years of age or older and furnish age-verification (e.g., copy of drivers license). Upload a jpg, jpeg, gif, png, pdf file. Maximum file size is 3MB.Registration Type*Individual (Non-Member) $55Family (Non-Member) $80Non-member rates include current year annual NCSBA membership for the primary registrant.Registration Type*Individual $40Family $65Individual (incl NCSBA membership) $55Family (incl NCSBA membership) $80South Carolina and Virginia Beekeepers are not required to join the NCSBA to attend the conference but are welcome to if desired. Note: Family Registrations include two adults and their children under 18 yrs.Donation to Apicultural Science Fund Please consider a donation to the Apicultural Science Fund. This optional donation helps support Honey Bee Research at North Carolina State University.Registration TotalFor Stripe ReportingDues TotalFor Stripe ReportingTotal $0.00 For FAMILY registration, list family members who will attend. Note: Family Registrations include two adults and their children under 18 yrs.Adult Family Member Guest: First Last Adult Family Member Guest's NCSBA Membership #Enter your Adult Family Member Guest's NCSBA membership number only if they are a NCSBA member and will be attending. Their membership number can be found on their membership card. They may also request their member number using their email address.Child GuestsFirst NameLast Name Enter your child guest(s) name. Click the + icon to the right of the last name field to add additional children. Note: Family Registrations include two adults and their children under 18 yrs.Add any brief comments you wish to send to registrar:If there are any questions you will be contacted by Membership Coordinator at firstname.lastname@example.orgCredit Card*Card Details Cardholder Name PhoneThis field is for validation purposes and should be left unchanged.