Online Pesticide Applicatin Training - Individual Registration

MISSION STATEMENT

Register yourself today to start benefiting from weekly 10-10 pesticide application training!

	10-10 TRAINING ANNUAL MEMBERSHIP FEES:
SSL Certificates	• $24.95 to sign up for ONE YEAR of training

	PERSONAL INFO:
First Name:	REQUIRED
Last Name:	REQUIRED
Street Address:	REQUIRED
	if different from street address, enter mailing address. All "Official Certificates" will be mailed to this address.
Billing Address:
City:	REQUIRED
State:	REQUIRED
Zip:	REQUIRED
Date of Birth:	REQUIRED (i.e. 05/01/1978)

Email:	REQUIRED
Pesticide License Number:	OPTIONAL
Driver's License or State ID:	REQUIRED

	SECURITY/LOG-IN DETAILS
Username:	REQUIRED (Min length 5, max length 15)
Password:	REQUIRED (Min length 5, Max length 15)
Confirm Password:	REQUIRED

	ADDITIONAL TRAINING / CEC
General /Core-Seminar I	$14.99 - check box to add to cart
Turf Fertilization	$19.99 - check box to add to cart
Calibration of your Weed Spraying Units	$19.99 - check box to add to cart
Deep Root Feeding Trees	$19.99 - check box to add to cart
Site Awareness and Calibration Techniques	$19.99 - check box to add to cart

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Register yourself today to start benefiting from weekly 10-10 pesticide application training!