Application for 2017 Basic Food Safety Training

Application for 2017 Basic Food Safety Training
Name/s of attendee/s
Name of food
business/organisation………………………………………………………………………………
Number attending
Tuesday 25 July 6.30-8.30 p.m. @ Rubicon Grove Port Sorell……………………….
Wednesday 26th July 12.30 pm – 2.30 pm @ Port Sorell Bowls Club ……………..
Thursday 27th July 7 am - 9 a.m. @ The Cherry Shed Please ask for menu to provide
pre-order of breakfast
……………………………………………………………………………………………………
Charity/Not for Profit Organisation
Yes No
(If yes no fee required)
Food Business $50 per person
(2 people from food business 10% discount - 3 people 15% discount - 4 or more 25%
discount)
Tax Invoice required Yes No
Form to be returned to Council along with fee by Tuesday 18th July 2017
Fee can be paid in person at Council Office, 170 Gilbert Street Latrobe, using credit
card by phone, 64264444, post a cheque, PO Box 63 Latrobe 7307 or electronic
transfer:
Account Number 28018319 BSB 067 600 Reference - Food safety training (First
name eg. Glenys)