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Contact Us
Cecil Tharp
Pesticide Education Specialist
Montana State University
119 Linfield Hall
P.O. Box 172900
Bozeman, MT 59717-2900

Tel: (406) 994-5067
Location: Marsh Lab
ctharp@montana.edu
> PAT Coordinators
Request for Montana Private Applicator Credits
NOTE: If you are not affiliated with a local county extension office, please route your request for private applicator credits through the county extension office in the county where you would like to conduct the program.

Agents and PAT Coordinators please fill in the form below to request PRIVATE pesticide applicator credits and then press the 'Submit' button at the bottom of the page. Make sure to print a copy for your records. Do not hit "Enter" to move between fields. It will submit the form!

Agent / PAT Coordinator Information:

Full name

E-mail

Program Contact /Sponser Information:

Program Contact
Organization
Street Address
Address (cont.)
City
State / Province
Zip Code
Work Phone
FAX
E-mail

Program Information:

Title of program (Ex. Crop Protection Seminar-Bozeman):

Date(s) of program:

Enter Location of program (Builiding address, City, State):


County of Program:

PAT Region of Program:

Enter agenda here (times, speakers, speaker title, bullet comments about topics):

Remarks:


View Text-only Version Text-only Updated: 05/06/08
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