Pesticide License and Education Correspondence

If you would like to receive email correspondence from Montana State University Extension and the Montana Department of Agriculture (MDA) regarding your pesticide license, education events and other related pesticide information please fill out this form.

If you hold an active pesticide license your contact information will be shared with the MDA and associated with your pesticide license account. You do not have to have a Montana pesticide license to be added to the MSU Extension correspondence list.

The information you provide will only be used for the stated purpose and will not be given away or sold to other parties. You may opt out at any time.

Personal Information

First Name

Middle Initial

Last Name

Email

Phone Number

County of Residence

Reservation of Residence (if applicable)

Do you have a Montana Private Applicator pesticide license?

Yes
No
Unsure

Pesticide License Number