Applicant Contact Information

Thank you for attending the virtual Southeast Regional Fruit and Vegetable Conference. We appreciate your attendance and participation. 

To apply for CEU's, please complete the following form. You will only need to submit this form once. If you are applying for multiple States/Organization, you will be prompted on the last page of this survey to return to the main State/Organization listing and choose another State/Organization to complete the application required for that State/Organization.

To view the Pesticide CEU Guide, click here.

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* 1. First Name:

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* 2. Last Name:

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* 3. Email Address:

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* 4. Phone Number:

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* 5. Address:

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* 6. City:

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* 7. State:

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* 8. Zip Code:

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* 9. County:

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