UNL Irrigation Home Study Registration Form -- Please print and attach check
*First Name: *Last Name:
*Mailing address:
*City: *State: *ZIP:
Phone: Fax :
Email:
*Number of courses needed: ($85 per course) *Total Amount Enclosed: $ (Check payable to Ag Chemical Institute) Yes, I would like to take the quizzes on the Internet and receive instant feedback to my answers. Please send me a user ID and password for the Internet version. (If you check this option make sure and include your e-mail address above). *Required fields for registration form
Return this form and a check to: Dee Petersen Ag. Chemical Institute 1111 Lincoln Mall, Suite 308 Lincoln, NE 68508-2882 Fax: 402-476-1259 Phone: 402-476-1528 Email: info@nfai.org Top of Page Irrigation Home Study Homepage
Irrigation
Management Home Study Course Irrigation
Management Home Study Course