Retail Tobacco Education Courses
Please register by selecting the class that you plan on attending.

WE ONLY ACCEPT CASH OR CHECK, paid at the time of the class. NO credit or debit cards accepted.

Class Prices:
Tobacco only: $15
Alcohol only: $25
Tobacco and Alcohol: $35

Class Certification? *
Please select what type of certification you are seeking as part of participation in the class.
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Store's Full Name *
Please be more specific than "Chevron".
Your answer
Which class would you like to attend? *
Last 4 of Social Security Number
Only for people seeking alcohol certification.
Your answer
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This form was created inside of Southwest Utah Public Health Department. Report Abuse - Terms of Service - Additional Terms