Pesticide Training & Consulting
 
Note! Due to Covid-19, anyone who registers for this class will be required to wear a mask, unless things change between now and then, for all of the classes, NO EXCEPTIONS! If you cannot abide by this than please do not sign up. 
Also when you sign up you are waiving any right to sue me if you contract the virus.  All precautions will be taken to protect all who attend.  Lunch may not be provided depending on where we are with the virus, as we cannot serve buffet style right now.
I am doing everything I can to stay in business and to offer these courses, so please bare with me and we will get through this.  Right now if we have at least 10 people doing the 30 hour we are scheduled to have the exam at the end of the week.  Again this all depends on where we stand with Covid-19.  Lets hope by this time we will be in a better place than where we are right now. 
Pesticide Training & Consulting BBB Business Review

           30 Hr Registration Form

 

 

Please read both the side and bottom of this registration form before registering for any class!

_____________________________________________________________________ 

   

REGISTER      (please print)

_______________________________________________________________________

   

 

    Class Location:       _____________________________

               

    Class Date(s):____________________________


    Please check which 30 hour Category you are signing up for

     [    ] 30 Hour    [   ] 3A    [   ] 5A    [   ] 6A    [   ] 7A    [   ] 7D    [   ] 7F    [   ] 7G       

 

    Session Number(s): ____________________________ 

 

 

    Name:________________________________________________________ 

                      First                                MI                     Last



     Certification #__________________________________________

 

 

    Home Address:_________________________________________________

                  

 

    City:______________________    State:_________    Zipcode:__________   

 

    Home Phone #____________________     Work Phone #:___________________


    Fax #: _________________

 

 

   Payment:          [   ]   Check:  Make check payable to: Pesticide Training & Consulting


                              [   ]   Cash

                           

                              [   ]   PayPal

 

                              [   ]   Purchase Order:  (must have PO number and address for billing)

                                                                        Paperwork must accompany registration

 

                              Credit Cards MUST USE PAYPAL button on the left but you still

need to mail, fax or call the information in on this form so that you will be signed up for the

class.  The button only pays for the class, but does not tell what class you are signing up for. 

  

30 Hour Class fee - $585.00 per person
Pre-registration fee - $150.00 per person per day
On-site registration fee - $160.00 per person
Half day registration fee $75.00 per person, and DOES NOT include lunch

**Cancellation - Cancellations can be made 5 days prior to class date with a
refund of tuition minus a $30.00 cancellation fee. Substitutions are permitted
(please notify us in advance). If there is no cancellation and/or no one attends
the class, the registrant is still responsible for payment of the class, and will be
billed and not be able to take future classes until the bill is paid.
 
By registering for this class, the registrant agrees to the above terms,
as well as wearing a mask for the whole class and waiving any right to 
sue me if you contract Covid-19.
A fee of $20.00 will be charged for returned checks.

CANNOT ELECTRONICALLY REGISTER -  MUST PRINT AND MAIL, EMAIL OR
FAX FORM TO:


Pesticide Training & Consulting
P.0. Box 462
Bridgeport, NY 13030
phone/fax  315-288-4954