Tennessee Distance Learning
TN
Nutrition Courses Registration Form
Register Below

*  All Courses are registered with the SCCCCD for 5 hours.
    of Child Development.Instructions:

1. Select the course that you want to take based on the
    number of Participants.
2. Select the course book that corresponds to the number  
    of Participants.
3. Complete registration / credit card information.
4. If you register for multiple courses using the same
    credit card, we will bill your credit card only once for 
    the total amount. 
5. Click on "Submit" only once.
6. If you have any questions or problems, please call us at
    1-800-729-1949 for assistance.
 

    1. Healthy Choices.....Healthy Children

Tennessee Distance Learning:

TN Nutrition
Courses Registration Form

               *Please complete and submit another registration form if you are

                   registering different participants for each workshop.

                   *Your credit card will be billed one time for the total amount.

                        Select Course (Nutrition Tuition Chart)





                                                              Names of Participants

















                                                              Organization Information



















                                                              Billing Information

                    Please Note:

                    Credit Card Number, 3 Digit Card Code, Expiration Date,

                    CardHolder's Address, Card Holder's Zip Code, and Card Holder's

                    Name must be submitted in order to complete registration

                    and receive email confirmation.





























                    Please note:

                   1. Review the information you entered on the form before

                       you click the submit button.

                   2. Click the submit button only once.

                   3. After you click the submit button, a "Form Confirmation" page

                       showing the information that you entered will appear.

                       Please review the information and print a copy for your records. This

                       is not an official confirmation.

                   4. After your credit card is processed, an official confirmation

                       along with a copy of your credit card receipt will be sent

                       to the email address entered on your form within 24 hours.

                       Thank you, and we appreciate your business.

                       Service First Online Response Team

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