Continuing Education Units (CEU)

Sign Up Form

 


Sign Up Below to Establish a New Account.

NOTE: Information with an * is required.
This information is used to build a pesticide license database file for you.

Please enter the following information to establish your user profile.
Note: This information is used only to track your on-line CEU course information, and to provide required information to the Texas Department of Agriculture. The information provided WILL NOT be provided to any other party.

First Name *
MI
Last Name *
 
  TDA License # *
Expiration Date *(mm/dd/yyyy)
  Address 1 *
Address 2 *
  City *
State *
Zip Code *
  Phone *
Email *
Fax Number *
  Company
Company Address
Social Security #
  Password *
Password Confirm *