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Form DP-21 Rev. 9/10 ARKANSAS APPLICATION FOR REGISTRATION OF PESTICIDES This registration is for the calendar year ending December 31 Refer to back of page for instructions. Total Fee Enclosed Company Name DO NOT write in this space Approved Pesticide Division Date Mailing Address City and State Signed Printed Name Title Date of Application Telephone Number Fax Number Once completed make copy and sign both forms to be submitted Zip Category Inst...
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Where to submit arkansas is a form or document that needs to be filed with the appropriate government agency in the state of Arkansas.
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