SMARTtrain® Chemical Accreditation

QUEANBEYAN

TUESDAY/WEDNESDAY 17 & 18 FEBRUARY, 2015

Time:                   8.30am – 4.30pm

Fee includes:    SMARTtrain® manual, CD, SMARTtrain®.   

                                Your Card and Statement of Attainment will be sent out following successful completion of the course and assessments.

                        A range of courses for agricultural, horticultural, vertebrate pest, veterinary chemical users and their supervisors

Level 3 Chemical Application Initial –

This two day course is recommended for those who use pesticides with powered and hand-held equipment, unsupervised.  Valid for 5 years.

Course date – 17/18 February, 2015                            Course cost – $380 (GST free)

Level 3 Chemical Application Reaccreditation

A one day course for people who hold a current Level 3 accreditation in chemical application which is due for renewal.  Valid for 5 years.

Course date – 17^th February, 2014                                 Course cost – $200 (GST free)

To register or for further information –

Please call Lex Myhill or Maryke

4640 6333 or email us at:

lex.myhill@dpi.nsw.gov.au

or visit – www.profarm.com.au  

REGISTRATION FORM

SMARTtrain Chemical Accreditation

QUEANBEYAN  17/18 FEBRUARY, 2015

APPLICANT DETAILS

Full Name:

Address: 

Home Ph:                                                   Fax: 

Mobile:                                                       Email: 

COURSE (please tick which course/s you wish to attend)

Level 3 Initial 17-18 Feb  (2 days)             q

Level 3 Reaccreditation Feb 17      q

PAYMENT DETAILS

I have enclosed payment of $…………….. (cheque payable to NSW Dept. of Primary Industries). Effective 1^st January 2013, the following merchant surcharge will occur on credit card transactions: 0.4% for Mastercard & Visa, 1.5% Amex & 2.4% Diners.

Please charge payment to my credit card.  Signature of cardholder:  ____________________

Name on card:_____________________________________   Expiry date:  ________________________

My full card number is:                                                                                                    Circle one logo only

qqqq qqqq qqqq qqqq

CVV number (last three numbers on back of credit card)    qqq

Refunds and Withdrawals

Any withdrawal or transfer from a course must be received at least five working days before the course date to receive a refund less an administration fee of $50. No refunds will be given if notified within five working days of the course date.

To register or for further information –

Please call Lex Myhill

4640 6333 or email

[email protected]

or visit – www.profarm.com.au