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UMass Extension
Pesticide Education Program

 

Applicator License Training Workshop
Registration Form

There are three ways to register for the workshop.

1. For a 2014 Training Workshops information and registration form that you can mail in with your registration check click here.

2. We can also accept credit cards for payment of the workshop fee ($140.00/person) using an online registration process. There will be an additional online service fee of approximately $11.00 for each registration. Before you register for the workshop please be advised that you are required to have the 2014 pesticide exam study manuals (Core Manual 3rd edition, 2014 Massachusetts Core Supplement, 2000 Massachusetts Pesticide Control Act & 2010 Mass. Pesticide Regulations). You should order these manuals before you sign up for the workshop. Call the UMass Extension Bookstore at 413-545-5537 to order the study manuals.

If you would like to register online for the April 24 & 25 workshop in Marlborough click here.

If you would like to register online for the May 14 & 15 in Marlborough click here.

3. Or you can fill in and print the form below and mail in with your registration check.

Your Name/Company:
Address:
City: State: Zipcode:
Daytime Phone:
Fax Number:

Please select the location and date of the workshop you wish to attend. Please consider selecting a workshop that is held at least 1 week before your exam.:


Best Western Royal Plaza Hotel, Marlborough, Massachusetts Western Mass: TBA Waltham Mass
April 24 & 25
May 14 & 15
June 5 & 6
July 7 & 8
September 3 & 5
October 1 & 3
other dates will be added
see pdf above for complete schedule






May 12 & 13
May 1 & 2 is canceled
August 7 & 8
For our information, what date will you take the exam?
    What type of work will you be doing? Landscaping
    Exterminating
    Agricultural
    Rights-of-way
    Lawncare/Golf Course
    Schools
    Towns - DPW
    Housing Authority
    Other:

Reset this Form:

The registration fee is $140.00/person. (This fee only covers the cost of the workshop. There is an additional fee of $11.00 if you choose to pay by credit card online. Pesticide exam study materials and exam fees are not included. Please order your pesticide exam study materials separately as soon as possible)

Make the check or money order payable to University of Massachusetts. Governmental Purchase orders may be submitted via fax (413)545-5858. Tax ID Number is 043-167-352.

Print (2) copies of this form, keep one copy for your records and mail the other copy with your check or money order to:

Pesticide Education
Agricultural Engineering Building, Room 212
250 Natural Resources Road
University of Massachusetts
Amherst, MA 01003-9295

If you have any questions regarding these workshops, call the Pesticide Education office, University of Massachusetts Extension at (413) 545-1044

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