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Cultivating Communities and Environmental Health

The 34th National Pesticide Forum Participant List

We will share a speaker/activist list from the conference that individuals can use to communicate and organize around the issues discussed at the Forum. This list will only be shared with other participants, and not be published publicly. If you would like to be included on the list, fill out the information below (by May 1, 2016). Speakers and moderators will automatically be included.

First Name*

Last Name*

Email*

Phone

Street

City*

State/Province*

Zip/Postal Code

Organization

Yes, please include me on the participants list, and share my information with other Forum participants! *

Add me to the following list(s):

School Pesticide Monitor Beyond Pesticides' bi-monthly newsletter focusing on children and schools.
Weekly News Update keeps you up to date with Beyond Pesticides' Daily News Blog with a weekly summary delivered to your inbox every Monday.

**Please note: Beyond Pesticides will not share this list with anyone other than those who attended the 34th National Pesticide Forum.