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

UTAH 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.

REMINDER UTAH WILL ONLY ACCEPT 6 CEU'S ONLINE

COURSES
	Laws
	The Federal Insecticide, Fungicide and Rodenticide Act (FIFRA)	1 CEU

	Pesticide Safety
	Environmental Protection	1 CEU

	Managing Pesticide Drift	1 CEU

	Pesticide Applicator Safety	1 CEU

	Pesticide Use
	Beetles That Attack Wood: Identifying Beetles That Will Reinfest	1 CEU

	Beetles That Attack Wood: Identifying Beetles That Will Not Reinfest	1 CEU

	The Eastern Subterranean Termite	1 CEU

	Facets of IPM Field Crops	1 CEU

	Identifying Cockroaches In and Around the Home	1 CEU

	Pesticide Families	1 CEU

	Principles of IPM in Field Crops	1 CEU

	Principles of Pest Control on Lawns and Turf	1 CEU

	Recognition and Control of Some Small Vertebrate Pests Small Mammals	1 CEU

	Sucking Pests That Attack Ornamental Shrubs	1 CEU


Total Number CEUs Ordered: TOTAL AMOUNT DUE: .

How did you hear about us: Mailer Friend Agency Internet
Other

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PestNetwork.com, Inc.

COURSES

Laws

Pesticide Safety

Pesticide Use