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?