Restricted Use Pesticide Training 2020

Registration for Feb. 18, 2020

Required fields are indicated with an asterisk (*)

Name & Address * First Name * Last Name * Address Addt'l Address * City * County * State * Country * Zipcode * Phone Number * E-mail If you supply an e-mail address, a receipt for your registration will automatically be sent to that account. An e-mail address is required to pay using a credit card.

Private RUP License Number Commercial RUP License Number

* I would like to register for this event ($20.00) Special Dietary Needs:

Accommodations If you have special needs and want to request an accommodation, please provide details regarding your needs in the accommodations area below. Accommodations:

Contact Information

For information contact MSU Extension at 269-657-8213 or msue.vanburen@county.msu.edu.