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

NEW YORK STATE 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 CEC
	Beetles That Attack Wood: Identifying Beetles That Will Not Reinfest	1 CEC
	The Eastern Subterranean Termite	1 CEC
	The Environmental Protection Agency (EPA) and Its Role In Pesticide Application	1 CEC
	Environmental Protection	1 CEC
	Facets of IPM Field Crops	1 CEC
	The Federal Insecticide, Fungicide and Rodenticide Act (FIFRA)	1 CEC
	Identifying Cockroaches In and Around the Home	1 CEC
	Life History and Habits of Carpenter Ants	1 CEC
	Managing Pesticide Drift	1 CEC
	Pesticide Applicator Safety	1 CEC
	Pesticide Families	1 CEC
	Principles of IPM in Field Crops	1 CEC
	Principles of Pest Control on Lawns and Turf	1 CEC
	Recognition and Control of Some Small Vertebrate Pests Small Mammals	1 CEC
	Sucking Pests That Attack Ornamental Shrubs	1 CEC

Total Number CECs Ordered: TOTAL AMOUNT DUE: .

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PestNetwork.com, Inc.

COURSES