2012 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 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, icebreaker reception, 2 breakfasts,
1 brunch, Chef Professionalism Award Lunch and the awards gala. Does not include AAC dinner or chapter events.
Member Status Rewards Rate* Early Rate Standard Rate
(Available thru Mar. 16) (Available thru Mar. 16) (After Mar. 16)
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 = __________
Spouse | Name:____________________________________________________________ (same rate as member) = __________
*Rewards Rate restrictions: must be an ACF member in good standing, register and pay by March 16 and stay a minimum of three nights at the Sheraton at the Falls.
FAMILY MEAL PACKAGE*
q Family Meal Package
(includes icebreaker reception, 1 brunch, Chef Professionalism Award Lunch and the awards gala.) ___________ x $220 = __________
*To be eligible for a family meal package the ACF member must purchase a full registration package.
A LA CARTE REGISTRATION OPTIONS (See conference schedules for dates of each meal function)
One-Day Conference Program Badge includes breakfast or brunch. Note: Program badges may not be purchased with full registration.
q Saturday (4/28) q Sunday (4/29) q Monday (4/30) ___________ x $125 = __________
Meal Tickets
Icebreaker Reception (4/27)
Chef Professionalism Award Lunch
Awards Gala (includes one drink ticket)
Awards Gala—Kid’s Ticket (children 12 and under)
American Academy of Chefs Dinner
Optional Pre-Conference Activities (4/27)
Accreditation Workshop
Hands-on workshop—Chocolate
___________ x $40 = __________
___________ x $45 = __________
___________ x $100 = __________
___________ x $40 = __________
___________ x $125 = __________
qAM q PM
Hands-on workshop—Charcuterie
qAM q PM
q = $125
q = $25.00 members
q = $75.00 nonmembers
q = $40.00 members
q = $75.00 nonmembers
TOTAL DUE FOR REGISTRATION __________
REGISTER ONLINE at www.acfchefs.org
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 _____ / _____ / _________
