2011 ACF REGIONAL ConFerenCe REGISTRATION
REGISTER ONLINE AT:
www.acfchefs.org
MAIL OR FAX TO:
American Culinary Federation
180 Center Place Way | St. Augustine, FL 32095
(F) 904–825–4758 | (P) 800–624–9458
name _____________________________________________________________________Member ID __________________________________________
Preferred Mailing Address _____________________________________________________________ Is this q home or q work?
City ________________________________________________________________State ________________ Zip ___________________________________
Preferred e-mail* ________________________________________________________________ Home phone ___________________________________
Work phone_______________________________________ employer ____________________________________________________________________
Position/Title ____________________________________________________________________________________________________________________
*If provided you may receive e-mail notices of products and special offers from ACF sponsors and exhibitors.
COMPLETE A SEPARATE FORM FOR EACH ATTENDEE (applies to full and program badge purchases)
SELECT THE CONFERENCE(S) YOU PLAN TO ATTEND:
q Southeast (Feb. 19-20) q Northeast (March 21-23) q Central (April 18-20) q Western (April 30-May 2)
FULL REGISTRATION PACKAGE includes access to 1.5-hour seminars and demos, general session, trade show, icebreaker reception,
2 breakfasts, 1 brunch, 2 lunches and the awards gala. Does not include AAC dinner.
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 Rate Standard Rate
Culinarian/Professional Culinarian q $300 q $400 q $500
Junior/Senior/Student q $260 q $350 q $500
Allied/Associate/Enthusiast q $300 q $400 q $500
Non-ACF Member N/A q $495 q $595 = __________
*Rewards Rate restrictions: must be an ACF member in good standing, register and pay by early registration deadline and stay a minimum of three nights in the official conference hotel.
SPOUSE REGISTRATION PACKAGE* includes icebreaker reception, 1 brunch, 2 lunches and the awards gala.
Spouse’s name: __________________________________________________ q $250 = __________
*To be eligible for a spouse registration package the ACF member must purchase a full registration package.
A LA CARTE REGISTRATION OPTIONS
One-Day Conference Program Badge, includes lunch or brunch. Note: Program badges may not be purchased with full registration.
Day 1 q Day 2 q Day 3 q ___________ x $125 = __________
Meal Tickets
Breakfast q Day 1, quantity ________ q Day 2, quantity ________
Icebreaker reception
Trade Show Lunch
Awards Gala (Includes one drink ticket)
Kid’s Awards Gala (children 12 and under)
American Academy of Chefs Dinner
Education
educator Development Series (three 2-hour sessions and lunch) q $125
___________ x $25 = __________
___________ x $40 = __________
___________ x $40 = __________
___________ x $100 = __________
___________ x $40 = __________
___________ x $125 = __________
= __________
REGISTER ONLINE at www.acfchefs.org
TOTAL DUE FOR REGISTRATION __________
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.
PAYMENT MADE BY:
q Check q Money order (Make payable to: American Culinary Federation)
Credit Card (select one) q VISA q MasterCard q American express q Discover
Credit Card _______________________________ expiration Date _____ / ________ name on Card _____________________________________
Signature ________________________________________________________ Date _____ / _____ / _________
