Virtual Private Applicator Safety Training Registration, February 25, 2021 beginning at 3 PM
Event Address: Zoom
Contact us at (252) 665-2212 or mike_carroll@ncsu.edu

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Email *
Please provide your email address *
An email with the Zoom link will be sent to you prior the meeting and confirmation of registration
Type in your first name, middle initial and last name *
First Name                                                                Middle Initial                                       Last Name
Provide your home address *
Street                                                                City                                                      County
Provide a phone number you can be reached for any updates regarding the meeting or questions regarding registration.  If the area code is 252, it does not need to be listed.  If it is an area code other than 252, please provide the area code. *
Provide your NCDA & CS Pesticide License Number *
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