Arizona Certified Landscape Professionals
2010 Spring Certification Exam
Saturday, April 24, 2010 at 7:30 A.M.
* Location: Maricopa Ag Center; 37860 W. Smith-Enke Rd., Maricopa, AZ 85239
* Test Components: 5 Elements in all (Sign up for the ones desired)
Tree Planting; Calibrations/Pesticides; Equipment/Safety; Bedding Plants/Color; Turf/Sod.
* Materials: All materials for the test will be provided. You may bring a hand held calculator.
* Apparel: Long pants and shoes/boots are REQUIRED > NO SHORTS AND NO SANDALS
* Continental breakfast will be provided.
REGISTRATION DEADLINE: Friday, April 17, 2010
$ 50/Exam for ALCA Members $100/Exam for Non-Members
$ 15/segment up to the full amount $ 25/segment for non-members
Company: _______________________________________________________________________
Address: ________________________________________________________________________
Phone: __________________________________ Fax: ________________________________
Name(s) for full exam (5 elements: Tree Planting - Pesticides - Safety - Bedding Plants - Turf/Sod)
______________________________________ _______________________________________
______________________________________ _______________________________________
______________________________________ _______________________________________
______________________________________ _______________________________________
______________________________________ _______________________________________
If you are retaking the 5 elements, please list your name and circle the elements you are taking
1. _____________________________________ Tree Planting - Pesticides - Safety - Bedding Plants - Turf/Sod
2. _____________________________________ Tree Planting - Pesticides - Safety - Bedding Plants - Turf/Sod
3. _____________________________________ Tree Planting - Pesticides - Safety - Bedding Plants - Turf/Sod
4. _____________________________________ Tree Planting - Pesticides - Safety - Bedding Plants - Turf/Sod
5. _____________________________________ Tree Planting - Pesticides - Safety - Bedding Plants - Turf/Sod
Please complete and mail or fax to: ALCA, 5425 E. Bell Rd. Suite 105: Scottsdale, AZ 85254
FAX: 602-626-7590 PHONE: 602-626-7091
Enclosed is a check or credit authorization for the amount of $_______
Payment Method □ Check Enclosed or □ VISA or □ Mastercard or □ American Express
Card Number: _______________________________ Expiration Date: __________
Signature _____________________________________________________________