Landscape Industry Certified Technician Test

Saturday, September 16, 2017

MATC • Mequon Campus

5555 Highland Road • Mequon

Registration Deadline: August 31, 2017

Certification Registration Form

Submit a form for EACH applicant.

 

After you complete this form, please submit payment for your applicant tests and study guides. You need to submit a form for each applicant, but you can pay for all applicants at one time.

Personal Information

* First Name
* Last Name
* Address
* City
* State
* Zip
* Home Phone
Cell Phone
* Email
* Month & Year you entered
the green industry
T Shirt Size

Company Information

* Company Name
* Company Address
* Company City
* Company State
* Company Zip
* Company Phone
Company Fax
Manager Name
Company Email

Test Specialty

* Please select ONE test specialty
* I will take the test in
* Test materials should be sent to

When you submit your online payment, make sure the shipping address is correct.
You will be redirected to the online payment page after you submit this form.

 Installation-English  
 Installation-Spanish  
 Maintenance-English  
 Maintenance-Spanish  

Each study guide is $75. Submit your payment for your study guide via the online store.

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