Arizona Structural Pest Control Commision Registration Form

PestNetwork.com, Inc.

P.O. Box 81552
Austin, TX 78708-1552 FAX: (512) 990-0665
Phone: (512) 990-3216

CREDIT CARD INFORMATION MUST MATCH CREDIT CARD NUMBER

ARIZONA Registration

Credit Card Registration:

*Cardholder Name (First, Middle Initial):

*Cardholder Name (Last):

*Mailing Address:

*City:

*State / Zip:
/

Applicators Information if different from Cardholder:

First Name:

Last Name:

Mailing Address:

City:

State / Zip:
/

*App. License # State Abbrev.:

* Phone:

Fax:

*Email:

*Confirm Email:

* Represents required fields.

You must complete all credit hours registered for within the ceu time frame period that you registered in.

No credit hours will carry forward.

COURSES
	Beetles That Attack Wood: Identifying Beetles that will reinfest	1 CEU
	Beetles That Attack Wood: Identifying Beetles That Will Not Reinfest	1 CEU
	Environmental Protection	1 CEU
	Identifying Cockroaches In and Around the Home	1 CEU
	Managing Pesticide Drift	1 CEU
	Pesticide Applicator Safety	1 CEU
	Pesticide Families	1 CEU
	Recognition and Control of Some Small Vertebrate Pests Small Mammals	1 CEU
	Sucking Pests That Attack Ornamental Shrubs	1 CEU
	The Environmental Protection Agency (EPA) and Its Role In Pesticide Application	1 CEU
	The Federal Insecticide, Fungicide and Rodenticide Act (FIFRA)	1 CEU
	The Principles of Pest Control on Lawn and Turf	1 CEU
	The Eastern Subterranean Termite	1 CEU
	Life History and Habits of Carpenter Ants	1 CEU


Total Number CEUs Ordered: TOTAL AMOUNT DUE: .

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PestNetwork.com, Inc.

COURSES