Email address (required to confirm this submission):

 Beekeeper code number
  Beekeeper Name
  Company Name

Address:

  Telephone Number
  Fax Number

Apiaries to deregister:

The apiaries detailed below no longer contains any hives and I do not intend to use the sites again. I request the apiaries be deregistered.

If you do not know the numbers you will need to deregister the sites one at a time by providing full descriptions using the Deregistration of a Beekeeper or an Apiary form.

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