Tech Team Membership Application Name of Business* Primary Point of Contact* First Last Email* Shipping Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Accounting Contact Name (if different) Accounting Email (if different) Accounting Mailing Address (if different) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How many colonies are in your operation?* Where are your colonies primarily located? (state and county)* You keep colonies primarily for:* Pollination Honey Production Nuc/Packages Queen Breeding Which pricing option do you plan to use in 2021?See options on 2021 Membership Pricing Sheet Package Only Package + Fees for Extra Services Visit Fees + Service Fees BIP offers citizen science opportunities through its Sentinel Apiary Program for small beekeeping operations. Check here if you would like someone to contact you with more information about this program. Yes, I want to know more about BIP's Sentinel Apiary Program Sentinel Apiary ProgramDid anyone refer you to our program? If so, please list their name(s). Data Consent* I understand that participants in the Tech Transfer Team Program are subject to BIP's Data Policies. Data Policies