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Apply for Landscape Architect Reciprocal License

To begin applying for a landscape architect reciprocal license, please complete all required fields and answer any requried questions, then select Continue.

* Indicates required fields
First Name:*  
Middle Name:  
Last Name:*  
ex: Jr.
Social Security Number:*  
ex: 123-45-6789
Correspondence Address: *  
ex: 123 Main Street
Correspondence Address Line 2:  
ex: Suite 102
City: *  
State: *  
Zip Code: *  
Country: *  
Daytime Phone: *  
ex: 601-555-1234
Home Phone:*  
ex: 601-555-1234
Fax Number:  
ex: 601-555-1234
E-mail Address:  
Check carefully. Email is the Board's primary method communication.
Date of Birth: *  
Month     Year(YYYY)
Are you a resident of Mississippi? *   Yes  No
Website Address:  
Preferred Name for Registration Documents:*  
ex: John W. Doe

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