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Food Handler Safety Training Registration

  1. letterhead top bar.bmp

  2. List first and last names of all attendees

  3. $35.00 = first person / $25.00 = each add'l person

  4. $20.00 = first person / $10.00 = each add'l person

  5. Type of Establishment*

  6. Refer to price list above

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

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

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