CoreOne - LCP

Registration Date

Owner of Apiaries

Name (please provide your first name and last name, in that order. Ex: Jonh S. Smith, Jr.)

Company Name (Farm Name)

Physical Address (Home/Office)

* Physical Address Line 1

Physical Address Line 2

Physical City

Physical State

Physical Zipcode

Physical County

Physical Latitude (example 36.06513)

Physical Longitude (example -86.74724)

Phone #1

Phone #2

Email

Mailing Address

Mailing Address same as Physical Address?

Mailing Address Line 1

Mailing Address Line 2

Mailing City

Mailing State

Mailing Zipcode

Mailing County

Would you like to rent your bees for pollination?

If yes, how many colonies are you able to use for pollination contracts?

What counties are you willing to move them to?

Do you collect swarms?

Would you like to be on a swarm call list?

If yes, in what counties are you willing to collect swarms?

Would you like to be on a list to remove bees from structure?

If yes, in what counties are you willing to remove bees from structures?

Would you like to be on a list to sell your local honey?

The following information is optional and will not be associated with your name or registration number. This information is for demographic and statistical purposes only:

Home/Owner County

How many colonies do you have now?

What is your age?

How many years have you kept honeybees?

How many colonies died in the past 12 months?

How many colonies did you have last season during the honey flow?

How many strong colonies did you have last season during the honey flow?

How many weak colonies did you have last season during the honey flow?

How many Gallons/Pounds of honey did you produce this past season?

Gallons or Pounds?

What do you suspect was the cause of your colony deaths (Check all that apply)?

If Other, Please Specify Cause

Apiary Registration_04.08.2024

Owner of Apiaries