Order Form

North Carolina Pesticide Education Training Manuals Order Form Quantity x Price

=

Cost

Required study manual for all certification exams: Applying Pesticides Correctly

x $ 5.00

Required for all categories EXCEPT Structural & Private: N. C. Pesticide Laws and Regulations

x $ no charge $ ____-0-____

Sub-categories (choose one or more) Ornamentals and Turfgrass Pest Control Ornamentals and Turfgrass Pest Control (Spanish Version) Agricultural Pest-Plant (Spraying farm crops) Agricultural Pest Control - Animal Ectoparasites of Pets Poultry Pest Management Pests of Livestock Aquatic Pest Control (Spraying in/around water) Forest Pest Control Public Health Pest Control Regulatory Pest Control, (NCDA, APHIS, etc.) Right of Way (Weed control on roads, utilities, etc.) Seed Treatment The Preservation of Wood Aerial Application Dealer Pesticide Training Structural Pest Control (certification test) Demonstration and Research Private Applicator (Farmers) Workbook, Chapters 4 & 5

$ __________

x $ 15.00 x $ 15.00 x $ 5.00

$ __________ $ __________ $ __________

x $ 5.00 x $ 5.00 x $ 5.00 x $ 5.00 x $ 5.00 x $ 5.00 x $ 5.00 x $ 5.00 x $ 5.00 _______x $ 12.00 x $ 5.00 x $ 5.00 ______ x $ 15.00 x $ 5.00 x $ no charge

TOTAL: Add Shipping and Handling of $5.00 GRAND TOTAL:

$ __________ $ __________ $ __________ $ __________ $ __________ $ __________ $ __________ $ __________ $ __________ $ __________ $ __________ $ __________ $ __________ $ __________ $ ____-0-____ $ __________ $ ___5.00____ $ __________

Mail this order form with your check or money order, payable to N. C. State University, to: Pesticide Education Dept. of Horticultural Science N. C. State University, Box 7609 Raleigh, NC 27695-7609 Your name:

Company name:

Delivery address: City:

State:

Zip:

Phone: (

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Email Address: _______________________________________________________________________ For more information about training manuals, please call (919) 515-3113 (Please note: We are unable to process orders over the phone; we do not accept credit cards.). Orders will be shipped by standard U. S. Mail. If you are unsure of which manuals you need, or for more information about certification requirements and exams, contact the N. C. Department of Agriculture and Consumer Services at 919/733-3556 or click on http://ipm.ncsu.edu/pesticidesafety/ and follow the link to their website.