Outreach form

For additional information on scheduled wide area larvicide spraying treatments for the invasive Aedes aegypti mosquito, please click here.

Request for a presentation

Organization

Contact person

Contact person phone

Date

Start time

End time

Event coordinator / teacher

Age group

Number of participants / Class size

Presentation format

Interested topics

Bedbugs

Lice

Mosquito

Rodent

Wildlife

Other (Specify in Notes)

Notes

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