Prud’homme Beer Certification - Level 1 Beer Enthusiast
October 27, Nov. 3, 10 & 17, 2019 (Sunday’s) 1 4 p.m.
Please print. (This information will remain confidential)
Last First Middle
Name: _______________________ Name: _____________________ Name: ______________________
Your name as it will appear on your certification (if successful)_______________________________________
Address: ____________________________________ City: ___________________ Province:_____________
(Important include Apt/Unit # - Post Office Box #’s not accepted)
Postal Code: _____________________ Telephone: _______________________________________________
Email Address: ______________________________ Type of Employment ____________________________
U of G Student____ U of G Staff/Faculty: ___ U of G Alumni:____ Industry Professional: ____
LCBO/Beer Store Employee ____ Other: _______________________________________________________
How did you hear about the Prud’homme Beer Certifications? HFTM Email ___ Radio ___ Newspaper ___
Brochure ___ HFTM Website ___ Twitter ___ Facebook ___Other, please list:_________________________
Fee: Level 1 Beer Enthusiast - $350 + 13% (45.50) HST= $395.50
HST Reg. # - R108161829. A 10% discount will apply to U of G alumni/students/staff/faculty. $315 x 13% (40.95) = $355.95
Payment is due with application submission.
All fees include tuition, exam & educational material.
See website for cancellation policy.
Cheques should be made payable to: “University of Guelph”.
Please contact Lisa Fodor at (519) 824-4120, ext. 56116 w/VISA or MC information.
Please check ___ that you are 19 years of age on course start date.
Email or mail your application form to:
Lisa Fodor, Logistics Coordinator
School of Hospitality, Food & Tourism Management, University of Guelph,
50 Stone Rd E., Guelph, Ontario, N1G 2W1
Telephone: (519) 824-4120, Ext. 56116 Email: beer@uoguelph.ca
www.uoguelph.ca/hftm/beer
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