Registration
Food Manager Certification Registration Form
(Please use one form for each registrant.)
Please complete the form and mail it with a check or money order to:
American Food Safety, 2734 North 5th St, Philadelphia, PA 19133
or you may register by phone or fax by calling (800) 723-3873 or faxing (215) 634-6184.
Class sizes are limited, so please register early.
Student Name:
Student Address:
Day-Time Phone:
Business Name/City:
Fax Number:
Course Language
Location (City/State):
Course Date: