• The Pest Management Regulatory Agency (PMRA), in conjunction with Canadian

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The Pest Management Regulatory Agency (PMRA), in conjunction with Canadian
Consumer Specialty Products Association (CCSPA) and CropLife, presents:
THE CANADIAN PESTICIDE REGULATION COURSE
FEBRUARY 27-28, 2008 from 8:30 a.m. – 5:00 p.m.
Fairmont Château Laurier, 1 Rideau Street, Ottawa, Ontario CANADA K1N 8S7
WAITLIST REGISTRATION FORM
Following the registration deadline, any remaining seats will be allocated on a first come, first served
basis to those on the waitlist.
Language of
Course
Materials
English French
NAME (1): Email (1):
Name (2): Email (2):
Name (3): Email (3):
Name (4): Email (4):
Name (5): Email (5):
Name (6): Email (6):
Name (7): Email (7):
Name (8): Email (8):
Name (9): Email (9):
Name Email (10):
(10):
COMPANY: _________________________________________________________________
ADDRESS: ____________________________________________________________________
TEL #: _____________________________ FAX #: ___________________________________
Please indicate if individuals are members of CCSPA or Croplife:
Membership Yes No
CCSPA
CropLife
Send this form to Nancy Hitchins by fax at 613-233-6350
or by email to [email protected]
For further information, call Nancy Hitchins
at 613-232-6616, ext. 12.
For CCSPA office use only:
Date Received: ___________________________


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