2012 ACF NATIONAL CONVENTION REGISTRATION
REGISTER ONLINE AT:
www.acfchefs.org
MAIL OR FAX TO:
American Culinary Federation
180 Center Place Way | St. Augustine, FL 32095
(Fax) 904–825–4758 | (Phone) 800–624–9458
Name _____________________________________________________________________Member ID __________________________________________
Preferred mailing address _____________________________________________________________ Is this q home or q work
City ________________________________________________________________State ________________ Zip ___________________________________
Preferred email* _________________________________________________________________ Home phone ___________________________________
Work phone_______________________________________ Employer ____________________________________________________________________
Position/ Title ____________________________________________________________________ Cell phone _____________________________________
*If provided you may receive email 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)
FULL REGISTRATION PACKAGE includes access to 1-hour seminars and demos, general session, trade show, icebreaker reception,
two breakfasts, two brunches, Chef Professionalism Lunch and President’s Grand Ball. Does not include AAC dinner.
Member Status Rewards Rate* Early Rate Standard Rate
(On or before May 18) (On or before May 18) (After May 18)
Culinarian/Professional Culinarian q $450 q $600 q $725
Junior/Senior/Student q $425 q $550 q $625
Allied/Associate/Enthusiast q $450 q $600 q $725
Non-ACF Member N/A q $725 q $825 = __________
*Rewards Rate restrictions: must stay a minimum of four nights at the Orlando World Center Marriott, be an ACF member in good standing and
register and pay by early registration deadline.
SPOUSE REGISTRATION OPTIONS*
Spouse’s name: __________________________________________________
q Full Registration
q Family Meal Package
(includes icebreaker reception, two brunches, Chef Professionalism Lunch and President’s Grand Ball): q $300
(same rate as member listed above): = __________
= __________
A LA CARTE REGISTRATION OPTIONS
One-Day Program Badge, includes one meal. Note: Program badges may not be purchased with Full Registration.
SAT (7/14) q SUN (7/15) q MON (7/16) q TUE (7/17) q ___________ x $125 = __________
Breakfast Breakfast Brunch Brunch
Meal Tickets
Ice Breaker Reception (7/13)
Chef Professionalism Lunch (7/14)
ACF Foundation Fundraiser (7/14)—On or before May 18 = $75, After May 18 = $100
Student Team Lunch (7/15) CE#____ NE#_____ SE#_____ WE#_____
President’s Grand Ball (includes one drink ticket) (7/17)
President’s Grand Ball—For children 12 and under (7/17)
___________ x $50 = __________
___________ x $75 = __________
___________ x _____ = __________
___________ x $40 = __________
___________ x $140 = __________
___________ x $50 = __________
Optional Pre-convention Activities (7/13)
Accreditation Workshop
Specialty Workshop—Chocolate
qA.M. qP.M.
q = $125
q = $50 members
q = $100 non-members
More Workshops TBD
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 (payable to: American Culinary Federation) q Credit Card (Visa, MC, Amex, Disc)
Credit card ________________________________ Expiration date _____ / ________ Name on card _____________________________________
Signature ________________________________________________________ Date _____ / _____ /_________
