CEU Workshop Registration Form

First Name:

*

Last Name:

*

Business Address:

Other Attendees (from your company):

Employer /Company Name:

Health Department License No.: (Optional)

Contact Phone No.:

*

Email Address:

*

Event you are registering for

 Tulsa, Oklahoma April 22,2008
Weslaco, TX February 25, 2008
Baytown, TX February 27, 2008
San Antonio, TX February 29, 2008
Tyler, TX March 25, 2008
Ft. Worth, TX March 27, 2008 (NEW LOCATION)
San Angelo, TX April 8, 2008
Plainview, TX April 10, 2008
* DON'T FORGET! Bring your mosquito fogger for droplet testing. It must be in good working order and you must know your flow rate.