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Food Handler Certificates ONLINE

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current issue of
Main Ingredient

food handler
alcohol server
Education

SPONSORSHIP
 

APPLICATION FOR MEMBERSHIP

First Name: Last Name: Date:  
Owner or Operators Name:
5/9/2008
Title:
Sponsored by:
  First Name: Last Name:
Second Contact Name:
            
Second Contact Title:
Doing Business As (name of your establishment)
Corporate Name (legal entity)
Location (address)
City
State Zip
Mailing Address (if different)
City
State Zip
County Business Phone Fax
WEB Site Address Email
Please check the boxes for the endorsed services for which you would like information sent? (some conditions may apply)
Access Insurance Agency-Workers Compensation Insurance Paychex-Payroll Processing and Tax Preparations
Access Insurance Agency- Property and Liability Insurance Rivermark Credit Union-Personal Banking/Credit Union
Access Insurance Agency- Group Health Insurance IEC Group-Human Resource Consulting
Micros-Point of Sale Systems AFLAC
Take Charge-Credit Card Processing Creative Center Graphic Design and Marketing
Open Online Background Checks Jobdango Online job postings
OLCC License Type Do you own additional locations? Please check one
Full On-Premises Sales Yes
Franchise
Limited On-Premises Sales No Chain
No OLCC License If Yes, how many? Independent
Banquet Capacity: 50-7576-150151-250251-400
Industry Segments
In an effort to best serve every member of the food service industry, the ORA has identified
segments that comprise the industry in Oregon. Please check the box for the industry segment
that represents your business.
Fine DiningQuick ServiceCasual/Family DiningBar & Tavern Entertainment

 

 

 

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