Hand Pump Sprayers Course

Envirospray Handpump Sprayer Certificate
To gain this certificate there are 3 x sections you need to complete:

1. Form below filled in with all details.

2. Payment completed and received.

3. Assessment Completed (the assessment link will show on the Thank You page after you have completed payment and submitted the form or it will be in the confirmation email you will receive shortly after submitting this form).

This is Step 1 to become an Envirospray Qualified Contractor.
Are you required to be an Envirospray Qualified Contractor? (this is to spray for hire or reward).*

YesNo
Today's Date*

DayMonthYear
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone

Area CodePhone Number
Mobile Number*
Email Address*
Date of Birth*

DayMonthYear
Photo ID - upload a photo of your PASSPORT or DRIVERS LICENCE.*

Browse Files
Please include photo ID either drivers licence or passport Cancelof
Employer Name
Employer Address - if different from above

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer Number - if different from above

Area CodePhone Number
Employer Email - if different from above
Please confirm province you complete majority of your work in.
Payment Options - $295 excl. GST*

Credit Card via PayPalBank Transfer / Direct CreditInvoiceFarmlandsRuralco
Credit Card payment via PayPal. You will be redirected to the Paypal payment page once you submit the form below.
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Hand Pump Sprayer - Environment Weed Control Certificate$339.25NZD
Bank Transfer Payment Options:

If you'd like to complete payment via this option, please deposit $295 excl. GST direct into our bank account.

Details:
Adroit Solutions Ltd
BNZ - 02 0922 0256838 25

Please note certificate won't be issued until payment has been received.
Invoice Payment Option:

If you'd like to complete payment via this option, we will send an invoice to the employer email address stated above.

The invoice will be made out to your work address stated above.

Please note certificate won't be issued until payment has been received.
Order Number
Please insert order number here if you have one
Farmlands Payment Option

Browse Files
If you wish to pay via this option please upload a photo of your farmlands card. Cancelof
Ruralco Payment Option

Browse Files
If you wish to pay via this option please upload a photo of your ruralco Card. Cancelof
This assessment is to be completed only by the named person above*

YesNo
I agree there is a maximum application period for 3 months to provide all required information to Adroit Solutions. Additonal fees will apply if my application is not completed in the above timeframe.*

Yes
How did you hear about this Course?*

Word of MouthFacebookGoogleSupplierAdvertisementOther
Adroit Solutions Terms of Engagement & Disclaimer

1. Confidentiality: All information provided to Adroit Solutions will be kept confidential. 2. Conflicts of Interest: If a conflict of interest arises Adroit Solutions will advise the Applicant. 3. Adroit Solutions holds Professional Indemnity Insurance & Public Liability Insurance cover. 4. Problems & Complaints: Please tell Adroit Solutions promptly if unhappy with, or uncertain about any aspect of our work or billing. 5. Application Cost: No Application is formally accepted until all fees have been paid unless prior arrangements are made with the PCBU/Trainer. 6. Termination: Adroit Solutions may terminate this engagement at any time if requested information is not received within a reasonable period. 7. Advice Statement: In providing services, Adroit Solutions do not accept responsibility or liability to any parties who may be affected by our performance of the services. Our advice is opinion only, based on the facts known to us and provided by the applicant and their PCBU. We are not liable for errors in, or omissions from any information provided by third parties. We will not owe any other party any duty or liability in respect of any related or other matters. We may communicate with you and with others by electronic means. If communications are lost or affected for some reason beyond our control, we will not be liable for any damage or loss caused thereby.
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Envirospray Handpump Sprayer Certificate