Christian Chefs International Conference
Sign Up Form

Sunday, March 11 - Thursday, March 15, 2012
at Canby Grove Conference Center, Canby Oregon

* = Required Input Field
Please fill out separately for each person attending

* Name
* E-mail
  Please add the @christianchefs.org domain to your accepted list so our e-mails don't go to your spam folder
* Full Address
* Phone Number
* Do you work in the food-service industry?
  If not, please explain in "Comments" area below
  This conference is for Christian cooks & chefs in the industry.
  Retired cooks/chefs, culinary students & spouses of cooks and chefs are welcome.
Yes
No
* What is your position/style/relation to the culinary industry?
What would you like to sign up for?
Baking Seminar, March 11-13:
      I will not be attending this session
   Seminar plus 5 meals & 2 nights:
      $190 Triple Occupancy
      $210 Double Occupancy
      $230 Single Occupancy
   Seminar plus 5 meals & no room:
      $140 Commuter
   Discount for spouses & others who want to come
     hang out with meals & room, but not bake:
      $60 Discount
   Early Registration Discount:
     (payment needs to be received by February 20)
      $15 Discount

ServSafe Certification Seminar, March 13:
   I will not be attending this session

   $125 ServSafe Session/Book/Test/Lunch

   $12 Lunch Only (no session)

Christian Chefs International Conference, March 13-15:
      I will not be attending this session
   Seminar plus 5 meals & 2 nights:
      $130 Triple Occupancy
      $150 Double Occupancy
      $170 Single Occupancy
   Seminar plus 5 meals & no room:
      $75 Commuter
   Tuesday Dinner & Evening Session Only:
      $20 Event Pass *
   Early Registration Discount:
     (payment needs to be received by February 20)
      $15 Discount

* = Early Registration Discount does not apply

* Payment type Credit Card
(for security we will take your numbery by phone)
Check
(we will await your check to confirm your lodging)
* Sex
  For housing assignments
Male
Female
Please house me with
  If a person of the opposite sex, please specify relation through family or marriage
* Would you like to be listed in the retreat's address book to be given to all attendees? Yes
No
Comments:
  Let us know a bit more about yourself, plus any special needs or allergies
  so that we can know how to serve you better.
 


We will e-mail you confirmation & payment instructions
If you haven't heard from us within 24 hours, please contact us