Apiary Survey

2. Name*
3. Phone Number*
5. Operation*
6. Email Address*
8. Number of Colonies Places for Pollination*
10. Rental Value Per Colony*
12. Total Gross Dollar Value*
14. Other Products

    1. Beeswax
    2. Honey
    3. Nuclei

    1. Packaged Bees
    2. Queen Bees
15. Total Value of Other Products
17. Comments
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21. 1. Receive an email copy of this form.
22. Email address

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23. Submit

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