Application For Registration And/or Reregistration (Renewal) Of Pesticides Form Page 2

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MISSISSIPPI DEPARTMENT OF AGRICULTURE AND COMMERCE
BUREAU OF PLANT INDUSTRY
P.O. Box 5207, Mississippi State, MS 39762
LIST OF PRODUCTS FOR WHICH REGISTRATION IS REQUESTED FOR THE CALENDAR YEAR 2007
REGISTRANT NAME:
LIST RENEWALS NUMERICALLY BY EPA NUMBER FOLLOWED BY NEW PRODUCTS NUMERICALLY
BY EPA NUMBER (If necessary, make additional copies of this form)
PRODUCT NAME
EPA REG. NO.
Please check appropriate box(s) below
Renew
New
Additional
Brand
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Page 2
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