Individual Registration

You are registering an individual who currently holds an authorization letter to test. The tester must bring the letter and a photo ID on the day of testing.

Your exact testing time will be shared with you within 1 week of your testing date.
Additional information about items to bring and not to bring will also be included in your confirmaton email 1 week out from the event date.

By registering, you are agreeing you will:

Not attend the event if they have a fever or are exhibiting any symptoms of Covid-19.
Wear a mask.
Observe Social distancing.

First Name *

Last Name *

Company Name *

Email *

Confirmation messages and meeting link info will be sent to this email.

Billing Information

Address *

City *

State *

Zip *

Phone *

I'm Testing For: *

I have an authorization to test for Registered Technician Category 60.

I have an authorization to test for Certified Applicator.

Customer Number (top right of auth. ltr.) *

If testing for Certified Applicator list which category (ies) you are testing for:

Payment Information

VDACS In-Person Testing Reg. Fee *

Member $0

Non-member $25

Amount

$

Payment Method *

Debit/Credit Card Mailing in a check

Billing Zipcode*

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Type*

Card Holder Name*

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Upcoming events

TPCA Membership Meeting - April 28

Date: APR 28 2021

VPMA Recertification Webinar Training - May 4, 2021

Date: MAY 04 2021

Tidewater Location - VDACS Testing - May 20

Date: MAY 20 2021

Richmond Location - VDACS Testing - June 24

Date: JUN 24 2021

Jeffrey M Johnson Memorial Ace Prep Course

Date: SEP 22 2021