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Please complete the form below to register to participate in the Montana Waste Pesticide Disposal Program. When you have finished filling in your contact and license information, click the Next button to list your pesticide waste products for disposal. A copy of your completed form will be emailed to you.

Please contact Carli Lofing at (406) 465-0531 or for registration assistance. If you encounter any technical issues with the online form, please contact the Office of IT at

Thank you for your participation in the program!

Fields indicated with an asterisk * are required.