California Food Handler Card

Online Training Registration for Food Safety Coach

Please complete your information below

First Name: *  
Last Name: *  
Please make sure your first name and last name is typed EXACTLY as it appears on your government issued ID. This name will appear on your California Food Handler Card.
Business: *  
Address: *  
Address Type: * Work Home  
Phone #: *  
  Phone # format: ###-###-#### x####  
Email: *  
Confirm Email: *  
If you do not have an email address, please click here for instructions on how to set an email up in just 5 minutes!


Payment Type: * Credit Card or Debit Card  
account number on bank card
CVV2/Security Code
Name on Card: *
Credit Card #: *
Expiration: *
CVV2/Sec: *
Billing Address: *
Billing Zip: *

Please mail your check to:
Premier Food Safety
1532 W Commonwealth Ave, Suite A, Fullerton CA 92833

Amount: $15.00 (1 x $15.00)
Corporate Discount: -$5.05 (1 x -$5.05)
Total Amount:
$15.00 (1 x $9.95)  
I have read and agree to the TERMS & CONDITIONS *

I have read and agree to the Minimum Computer System Requirements *