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ServSafe® Food Manager Certification
REGISTRATION INFORMATION
You must attend both days in order to be able to take the exams. No refunds.
Name
*
Address
*
City, State, Zip
*
Email
*
Phone
*
Food Facility Name
*
ServSafe® Training Class $150.00
June 23 & 25
September 15 & 17
November 17 & 19
PIC Training $10.00
August 6th - Regular PIC Training
Number to Attend
*
Please select
1
2
3
4
5
6
7
8
9
10
Attendee #1 Name
*
Attendee #2 Name
*
Attendee #3 Name
*
Attendee #4 Name
*
Attendee #5 Name
*
Attendee #6 Name
*
Attendee #7 Name
*
Attendee #8 Name
*
Attendee #9 Name
*
Attendee #10 Name
*
Testing Language
*
Please select
English
Spanish
Chinese
Japanese
Korean
