Chemical Accreditation Registration Form
Fill out your details below to express your interest for you or your business to participate in our courses. We'll get back to you with more information and schedules soon.
Business Information
Business Trading Name
Core Industry : Please choose most applicable.
Please Select
1080 (Fox Baits)
Avocados
Bananas
Bees
Berries
Broadacre
Cane
Citrus
Cotton
Council
Drone Spraying
Fruit/Nut Trees
Horticulture
Landscaping/Gardens/Turf
Livestock
Macadamias
Mangoes
Nursery
Poultry
Ranger/Environmental Management
School
Utilities/Facilities
Waste Management
Weeds
Other
If your industry is not listed, please note it in the box below.
What machinery or equipment do you use? Please choose most applicable.
Please Select
Backpack / Handheld Sprayer
Boomspray / Mister
Drone
Spray Tank / Spray Gun
Veterinary equipment
Other
If your industry is not listed, please note it in the box below.
If other, please note below :
Address
*
Street Address
Street Address Line 2
City
State / Province
Post Code
Postal Address (if different)
Street Address
Street Address Line 2
City
State / Province
Post Code
Contact Person
*
Full Name
Contact for invoice if different
Name and Email Address
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
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Course Location & Date
*
Please Select
2024-
Mareeba 29 April (Full)
Tully 30 April
Bowen 1 May (Full)
Ayr 2 May
Mackay 3 May
Toowoomba 7 May
Stanthorpe 8 May
Gatton 9 May
Dalby 10 May
St George 13 May
Goondiwindi 14 May
Moree 15 May
Narrabri 16 May
Gunnedah 17 May
Bundaberg 27 May
Gympie 28 May
Beerburrum 29 May
Kingaroy 31 May
Inverell 3 June
Tamworth 4 June
Muswellbrook 5 June
Mudgee 6 June
Cowra 7 June
Cootamundra 11 June
Young 12 June
Forbes 13 June
Gilgandra 14 June
Gatton 17 June
Boonah 18 June
Lismore 19 June
Other
See our training calendar to find the date you require. If you are enquiring about a location/date that is currently not on our calendar, please select 'other' then choose a location from the dropdown below.
Express Interest For A Different Location
Promo Code
If you have received a promotion code, enter it here
Attendee List
*
How did you hear about our training?
*
Orange Flyer
Letter
Email
Text Message
Web Search
Facebook
Word Of Mouth
Returning Customer/Participant
Other
See our training calendar to find the date you require. If you are enquiring about a location/date that is currently not on our calendar, please select 'other' then choose a location from the dropdown below.
Preferred payment method to confirm your booking
Please email me an invoice for direct debit
I will call with credit card details
Submit
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