ServSafe Class RegistrationInstructions Class 100.00 per person. Payment must be received before date of class. EHS will notify each participant 2 weeks before class to submit payment. Please submit payment to Environmental Health and Safety Box 870178 Tuscaloosa, AL 35487 Attn: Dana TerrellDate Organization Name BillingResponsible for billing Phone Number Email Address Address for billing Persons requesting className First Time or Recertifying? First TimeRecertifyingName First Time or Recertifying? First TimeRecertifyingName First Time or Recertifying? First TimeRecertifyingName First Time or Recertifying? First TimeRecertifyingName First Time or Recertifying? First TimeRecertifying VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: