The National Culinary Review

2010 Southeast Regional
Conference Registration

REGISTRATION FORM (Please complete one form for each person attending.) Spouse pays the same rate as member.  Check here if you are a member’s spouse.
Name ________________________________________________________ Membership ___________________________ Chapter ID ________________________
Home address _________________________________________________ City ____________________________ State ________________ Zip _________________
Home e-mail* __________________________________________________ Home phone _____________________________ Cell phone _________________________
Employer ______________________________________________________ Position title ________________________________________________________________
Work address __________________________________________________ City ____________________________ State ________________ Zip _________________
Work e-mail* ___________________________________________________ Work phone ______________________________ Fax_______________________________
*If provided, you may receive e-mail notices of products and special offers from sponsors and exhibitors. Your registration confirmation will be sent by regular mail.

 Southeast (April 24-26) Discount deadline April 8!

Badges and tickets must be picked up on-site at the preregistration desk. For special services, call ACF Events Management (800) 624–9458 or e-mail events@acfchefs.net

FULL REGISTRATION PACKAGE* includes conference meal functions and badge for entrance to educational programming and trade show. Early registration deadlines apply for each event. Please visit www.acfchefs.org for specific dates and registration deadlines unique to each conference. Member Status Rewards Rate** Early Regular and on-site Culinarian/Professional Culinarian  $300  $375  $475 Junior/Senior/Student  $260  $325  $425 Allied/Associate/Enthusiast  $300  $375  $475

Non-ACF Member N/A  $475  $575

* Rates are for conference registration only. Room rates are separate and vary by location.

** To be eligible for the Rewards Rate, attendee must be an ACF member in good standing, purchase a full registration by the early registration cutoff date and stay a minimum of three nights in the official conference hotel. Only one registration rewards rate per room. Check Web site for details.

A LA CARTE REGISTRATION OPTIONS

One-Day Conference Program Badge

 Day 1*  Day 2  Day 3 ___________ x $75 = __________ * Includes Trade Show Lunch

Meal Tickets

 Breakfast  Day 1  Day 2

 Ice Breaker Reception

 Trade Show Lunch

 Chef Professionalism Lunch

 Conference Brunch

 Awards Gala—Celebrating Regional Excellence (Includes one drink ticket)

 Meal Package ___________ x $170 = __________ Includes Trade Show Lunch, Chef Professionalism Lunch, and Awards Gala

 American Academy of Chefs Dinner ___________ x $125 = __________ Kids ( 12 years or younger)

 Awards Gala ___________ x $40 = __________

Education

Educator Development
Morning Session
Afternoon Session
Career Development—Nutrition Track

Register online
at www.acfchefs.org

___________ x $20 = __________

___________ x $40 = __________

___________ x $100 = __________

Mail or Fax to:
American Culinary Federation
180 Center Place Way
St. Augustine, FL 32095
Fax 904-825-4758
Phone: 800-624-9458

Cancellation and Refund Policy: Request for refund must be made in writing and postmarked no later than 30 days prior to start of event. A $50 processing fee will be deducted from refund amount.

___________ x $50 = __________

Total Due For Registration $________________

Payment Made By:  Check  Money Order (Make payable to: American Culinary Federation) Credit Card (select one)  VISA  MasterCard  American Express  Discover Credit Card ____________________________________ Expiration Date ______ / ____________ Name on Card ______________________________________________________________________ Signature ________________________________________________ Date ______ / ____________