SERVSAFE® FOOD SAFETY MANAGEMENT TRAINING The ServSafe program helps prepare you for the ServSafe Food Protection Manager Certification exam. Training covers these concepts: • The Importance of Food Safety
• Good Personal Hygiene
Food safety in a food service establishment is nonnegotiable. Each year, an estimated 6 to 12 million Americans contact foodborne illness as a result of contamination by micro-organisms. These illnesses are preventable. Proper training is the key to preparing food in a safe environment.
• Time and Temperature Control
The ServSafe® program is the premiere food safety
• Cleaning and Sanitizing
Association Educational Foundation (NRAEF). The
• Receiving and Storing Food
A ServSafe® certificate from the NRAEF will be
• Preventing Cross-Contamination
certification offered by the National Restaurant
• Safe Food Preparation
program is designed for the food-service professional.
• Methods of Thawing, Cooking, Cooling and Reheating Food
awarded to the individuals who complete the course and receive a passing grade on the exam. Instructors
• HACCP (Hazard Analysis and Critical Control Points)
are registered ServSafe® instructors with the National
• And more . . .
cost for the course covers the training, textbook, lunch
• Food Safety Regulations
Restaurant Association Educational Foundation. The and certification examination from the NRAEF. ServSafe® is a registered trademark of the National Restaurant Association Educational Foundation.
Registration Form for ServSafe® Classes Form and payment must be made by December 16, 2016. Failure to do so can not guarantee a spot available in the class. Refunds and credits will not be provided unless Sysco Eastern Maryland cancels the class or arrangements are made in advance of the class date. Books will be mailed 2 weeks prior to scheduled class. YOU MUST BRING YOUR BOOK WITH YOU TO THE CLASS. Books contain vital information necessary to review prior to class date and exam test key needed to administer the exam. Please provide an address where the books will be received and given to class attendee in a timely fashion. A P.O. Box is NOT recommended. All participants must have a valid ID with them on the day of the exam. Participant CANNOT take the exam without an ID.
Fee: One-Day Seminar: $225 Test Only $100 (Only available if you have taken the seminar and need to re-test)
Includes: Course Book, Instruction, Certification Testing, Lunch. Mail registration form below and payment to: Sysco Eastern Maryland attn. Karen Bradley P.O. Box 477 Pocomoke, MD 21851
Course Date: Tuesday, January 17th, 2017 Class: 7:45 AM - 4 PM Test: 4 PM - 6 PM
• PLEASE PRINT CLEARLY • Name _______________________________________________________________________________________ Account Name __________________________________________ Account Number___________________ Mailing Address _____________________________________________________________________________ Billing Address _______________________________________________________________________________ E-mail Address _________________________________________ Phone ______________________________ Make check payable to Sysco Eastern Maryland, mail c/o of Karen Bradley For credit card payment, you must complete the Credit Card Authorization Agreement attached and mail or e-mail to Karen Bradley: bradley.karen@emd.sysco.com
ServSafe - Deadline to Register December 16, 2016 Once payment is received, the course book will be mailed to the registered student.
Class will be held at: Sysco Eastern Maryland 33239 Costen Road Pocomoke, MD 21851
Re c u r ri n g B i l l i n g Cre d i t Ca r d A u t h o r i z a t i o n A g r e e m e n t To T o p protect rotect y your our p privacy, r i v a c y , tthis h i s fform orm m must ust b be e rreturned e t u r n e d tto o tthe he s secure e c u r e ffax ax n number umber a att y your o u r llocal ocal O Operating perating Company CONFIDENTIAL C o m p a n y and identified as C O N F I D E N T I A L - Credit Card Operations. Do not allow anyone ellse to han ndle or have your credit card information.
The undersigned (CARDHOLDER), who has a financial interest(s) in each business location listed below (LOCATIONS), hereby authorizes SYSCO Corporation and any of its subsidiaries or affiliates (SYSCO) to automatically charge the CARD DHOLDER’S below referenced credit card account, on a recurring basis, in an amount equal to the amount of each invoice from SYSCO as payment for goods delivered to any such LOC CATION. CARDHOLDER agrees that rd either SYSCO’s invoice or 3 party carrier’s delivery document shall constitute proof of the delivery of goods covered by any such SYSCO invoice. CARDHOLDER hereby agrees that SYSCO may charge CARDHOLDER’s credit card the full amount reflected on all invoices for shipments of goods to all LOCATIONS. CARDHOLDER represents that each invoice or other delivery document will only be executed by his/her desig gnated representative and that any such signature is sufficient to establish proof of delivery of such goods. CARDHOLDER acknowledges that SYSCO will charge the card account for o the full amount of any invoice on the day of delivery or as soon as practical thereafter. CARDHOLDER agrees to abide by the credit and returns policy of the SYSCO entity delivering the goods (POLICY) and hereby acknowledges receipt off the POLICY. The POLICY and any updates are available any time at the delivering operatio on’s place of business and may be obtained from CARDHOLDER’s SYSCO sales representative. CARDHOLDER agrees to keep up with all updates to the POLICY. CARDHOLDER understands that this authorization agreement is, and remains, in effect until CARDHOLDER sends a termination notice sent via c ertified m a i l to S YSCO E ASTERN certified mail SYSCO EASTERN M A R Y L A N D Attention Cashier. CARDHOLDER must submit a termination notice to each MARYLAND SYSCO operation that has delivered goods to a LOCATION N. The SYSCO entity receiving such termination notice will discontinue using credit card within two (2) business days of receipt of such notice. • PLEASE PRINT CLEARLY •
BUSINESS B USINESS
CARDHOLDER C ARDHOLDER
SYSCO Ship To Customer Number (See Invoice):
Cardholder Name:
Business Legal Name:
Cardholder B Billing Street Address:
Business DBA Name:
City
Business Street Address:
SYSCO Business Card (Y or N)
City
State
Telephone #:
Zip
State
Zip If No, Card Type
Business Name (as it appears on card): Card Acct Number:
Expiration Date (MO/YR))
Cardholder Signature _________________________ _________________ Date_____________________