Business Name (required):

Owners Name (required):

Owners Phone # (required):

Owners E-Mail (required):


Mailing Address:

Address:

City:

State:

Zip Code:


How did you hear about us?

Number of hives you are planning to send? (required)

Number of Frames of bees per hive? (required)


Are your hives:
 10 frame double deeps 8 frames double deeps 4 - Way Pallets 6 - Way Pallets Not on Pallets


What area(s) of California are you willing to place your hives?
 Anywhere Northern California (North of Sacramento) Central California (South of Sacramento to Fresno) Southern California (South of Fresno to Bakersfield)


What is the minimum Rental Rate you will accept? (required)


Please tell us a little about yourself.

Did you send bees to almonds last year?  no yes

If yes, how many did you send?

What rate did you receive?

Who was the Broker?

How many years have you been in Beekeeping?


If you are unloading, and placing your hives in the orchard.

What equipment do you use? We need to know this so can match you with the right orchard for your equipment.
 Forklift Boom Lift


Do you manually unload your hives?  no yes

Flat Bed Truck?  no yes

If yes, how long is the bed?

Is it 4x4?  no yes

Do you use a trailer?  no yes

If yes, how long is the trailer?

Please give us three references.

Name:

Phone Number:

Name:

Phone Number:

Name:

Phone Number:


Additional Comments