Registration Form
                                                 Florida ACME 2006 Celebration
                                                “Tools for Building Better Marriages”
                                            The Florida Hotel and Conference Center
                                                             Orlando, Florida
                                                 September 29 - October 1, 2006
INSTRUCTIONS: Print this form, complete each item and mail it to the address in section 5 along with the registration fee.

Full Names:

 

Names to be used on name tags:

Address: 

 

City, State, Zip: 

 

Phone: 

 

Wedding Date:

 

Email: 

 

Years Married:

 

Are you first time conference attendees?  (Y or N):

 

Check if you receive the Florida ACME newsletter:

 

Check if you receive the National ACME newsletter:

 

 

1. Check if you plan to attend the Leadership In-Service at 3 pm Friday:   q
2. Choose your Saturday Attendance option by checking one box below.

Attendance Type

Choices

Check Selection

Mini-Retreat

Mini-Retreat

 

Workshops.  Choose A or B.
     All workshop attendees will also attend Workshop C.

Workshop A

 

Workshop B

 

 3. Choose Saturday Dinner Option:
                            Will Attend:  ____  (Y or N) 

Please make one choice per person.  Indicate # for each:   

Chicken

 

Vegetarian:

 

Special Needs:

 



 
4. Choose your Fee option by checking a box below (fees are per couple):

 

Check your
Selection

Attendance Fees*

Fee Type

Early Bird

Regular

Full Celebration (Friday – Sunday)

 

$159

$179

Saturday Only (includes Saturday dinner)

 

$99

$119

Please make check payable to Florida ACME.

Total amount enclosed:

 

5. Send completed form and
    check to Registrar Couple: 
             John and Maxine Roy
       7103 Cumberland Place
       Tampa, FL  33617
       Phone:  813-985-3266
       Email: maxineroy@verizon.net

*The full fee includes two meals (Saturday dinner & Sunday breakfast), Friday snacks, and materials.
Registration Fee:     Postmarked by 8/18/06:  early bird rate
                                Postmarked after 8/18/06:  regular rate
Refund policy:  Before 9/15/06: Full refund of Celebration Fee
                         After  9/15/06: 50% refund of Celebration Fee
Scholarship money is available. See brochure for more info.

6. You must call The Florida Hotel and Conference Center (1-800-588-4656) to reserve your room.
    Refer to “ACME Celebration” for the reduced rate of $95/couple/night, if reserved by 8/30/06.

***Please record your selected options and food preferences on your brochure for later reference.

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