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Online Registration

Registration Form


Manager Certification Program

class 9AM -12 noon

break/lunch 12-12:45 PM (lunch provided)

exam 12:45 - 2:45/3:00 PM

   

Your will receive a confirmation letter with program details.

 

registration tuition

Seminar and Exam  

$125

3-Hr Food Safety Class ONLY                                 

$50

Manager Certification Exam ONLY

$75

Not Applicable:

N/A

study materials and resources

Prices include tax, shipping and handling charges.  If you are purchasing more than one (1) book/resource, call 813.385.3205 for a price quote!!

Food Safety Textbook

$55

Food Safety Book - SPANISH ONLY

$30

Food Code 2005 CD-ROM

$25

Online Manager's Training Course

Click on 'e-training' >> Click on 'register now' button

$60

Quick Reference Guide (includes quiz)

$23

Food Safety Training CD-ROM - MS PowerPoint

$25

Online Employee Training Course

Click on 'e-training' >> Click on 'register now' button

$15

Not Applicable: 

N/A

attendee information

All Items marked with an (*) are required or the form will not be accepted.

 

If you Registering for more than one person and paying with the same Credit Card, please add the additional names in the Comments area below.

Name*:
Address*:

City*:

State*:

Zip*:

Day Phone*:  Fax:

E-Mail Address:
 

Please include a fax number or email address to receive your registration confirmation.

 


payment method

 

credit card payment information

All Information Required or the form will not be accepted. 

Note:  We do NOT accept AMEX or Discover

 

Card Holder's Name*:

 Billing Address*:

City*: State*: Zip*:

Credit Card Type:

Visa MasterCard

Credit Card Number*:

XXXX-XXXX-XXXX-XXXX

Exp Date (MM/YY)*:

Last 3 or 4 Digits 

on back of Card*:

Example:

Confirmations are emailed or faxed within 48 hours.


    questions and/or comments:

 

 

 
 
 
 

 

PO Box 290256, Tampa,  Florida

(813) 385-3205

info@dietaryservices.us

www.dietaryservices.us


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