2011 ACF NORTHEAST 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 ____________________________________________________________________ Cell phone _____________________________________
*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)
FULL REGISTRATION PACKAGE includes access to 1.5-hour seminars and demos, general session, trade show, evening reception, 2
breakfasts, 1 brunch, 2 lunches and the awards gala. Does not include AAC dinner or chapter events.
Member Status Rewards Rate* Early Rate Standard Rate
(Prior to Feb. 4) (Prior to Feb. 4) (After Feb. 4)
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 OPTIONS*
Spouse’s name: __________________________________________________
q Full Registration
(includes access to education sessions and meals except AAC dinner):
q Meal Package
(includes evening reception, 1 brunch, 2 lunches and the awards gala.): q $250
*To be eligible for a spouse registration package the ACF member must purchase a full registration package.
(same rate as member
as listed above):
= __________
= __________
A LA CARTE REGISTRATION OPTIONS (See conference schedules for dates of each meal function)
One-Day Conference Program Badge, includes lunch or brunch. note: Program badges may not be purchased with full registration.
DAY 2 (3/21) q DAY 3 (3/22) q DAY 4 (3/23) q ___________x $125 = __________
Meal Tickets
Breakfast q Breakfast (3/21), quantity ______ q Breakfast (3/23), quantity ______ ___________ x $25 =
Evening Reception (3/21) ___________ x $40 =
Trade Show (may not be purchased with full registration) ___________ x $15 =
Awards Gala (includes one drink ticket) ___________ x $100 =
Kid’s Awards Gala (children 12 and under) ___________ x $40 =
American Academy of Chefs Dinner ___________ x $125 =
Education
Educator Development Series (three 2-hour sessions and lunch) q $125 = __________
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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 _____ / _____ / _________
