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Pesticide Recertification Class Registration Form

  1. Registration for March 3, 2020 Pesticide Recertification Class
    Please fill in the form below to register for the class. Participant information is required for each attendee in order to receive credit for the course. If payment information is different for each participant please fill out separate forms.

    4 pesticide credits available!
    WHEN: 8:00 AM - 12:00 PM, March 3rd, 2020
    WHERE: Cowlitz County Event Center, 1900 7th Avenue, Longview, WA 98632
    REGISTRATION: $25 per individual
    Return to Class Information Page
  2. 2020 Pesticide Recertification Flyer
  3. Participant Information
  4. If your agency or company has more than 5 individuals attending, please submit an additional form for those participants.
  5. Billing Information
    Class registration fee is $25.00 per person, and should be submitted prior to the class. Please complete the billing information below, and submit payment to: Cowlitz County Noxious Weed Control Board, Admin Annex 1st Floor, 207 Fourth Ave N. Kelso, WA 98626. Checks may be submitted by mail or cash payments may be accepted at our office. An Invoice and/or receipt will be sent accordingly.
  6. If you are submitting this form and are not a participant above, please complete this contact information in case there are questions related to attendees or billing.
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  8. This field is not part of the form submission.