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Food Handler Safety Training Registration

  1. letterhead top bar.bmp

  2. List first and last names of all attendees

  3. FEES

  4. For - Profit Cost

    $35.00 = first person / $25.00 = each add'l person

  5. Non - Profit Cost

    $20.00 = first person / $10.00 = each add'l person

  6. Type of Establishment*

  7. Refer to price list above

  8. PAYMENT INSTRUCTIONS

    Registration form and non-refundable certification cost must be received no later than two weeks prior to scheduled course.

  9. Make checks payable to: Director of Finance

    CCDOH, Environmental Div, HRC Building, 7 North Erie Street, Mayville, NY 14757

  10. Leave This Blank: